Individual provider Active NPI

Mahmoud Sami Gad, DMD

  • Endodontics
  • Miami, FL
National Provider Identifier
1497770218
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D19985 Issued in FL
Practice address
1800 N Bayshore Dr Apt 3403
Miami, FL 33132-3232
Phone
(215) 500-1423
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN015767 GA
Endodontics 1223E0200X 30.025781 OH
Endodontics 1223E0200X D19985 FL Primary

Addresses

Primary practice location

1800 N Bayshore Dr Apt 3403
Miami, FL 33132-3232

Mailing address

1800 N Bayshore Dr Apt 3403
Miami, FL 33132-3232
Phone (215) 500-1423

Other practice location 1

300 S Biscayne Blvd
#3701
Miami, FL 33131-5312
Phone (215) 500-1423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170421001680 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5294011581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D19985FLMDEndodontist
DN015767GAMDEndodontist
30.025781OHMDEndodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1497770218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N BAYSHORE DR APT 3403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323232",
            "telephone_number": "215-500-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BAYSHORE DR APT 3403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323232",
            "telephone_number": "215-500-1423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Biscayne Blvd",
            "address_2": "#3701",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331315312",
            "country_code": "US",
            "telephone_number": "215-500-1423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAD",
        "first_name": "MAHMOUD",
        "middle_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN015767",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.025781",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "D19985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.