Active NPI
Mariam M. Habib, D.D.S., L.L.C.
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1528414588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN20984
- Legal business name
- MARIAM M. HABIB, D.D.S., L.L.C.
- Practice address
- 801 Paul St
Orlando, FL 32808-7544 - Phone
- (407) 290-0367
- NPI assigned
- May 9, 2016
- Last updated
- May 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariam Habib, D.D.S.
- Title
- Owner
- Phone
- (407) 290-0367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN20984 | FL | Primary |
Addresses
Primary practice location
801 Paul St
Orlando, FL 32808-7544
Mailing address
801 Paul St
Orlando, FL 32808-7544
Phone (407) 290-0367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015110700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
801 Paul St
Orlando, FL 32808
Phone (407) 290-0367
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462752000000",
"number": "1528414588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 PAUL ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087544",
"telephone_number": "407-290-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 PAUL ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087544",
"telephone_number": "407-290-0367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIAM M. HABIB, D.D.S., L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A",
"authorized_official_last_name": "HABIB",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-290-0367",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN20984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015110700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Maria Home Health Services, Inc
- Maria I Gonzalez-Bors (Maria I Bors)
- Maria S Colon (BC Home Medical Supplies)
- Maria Van Sant LLC
- Jose Clemente Maria-Rios, MD
- Jessica Mariani, APRN, FNP-C
- Marianna Zadov, P.a (Star Dental of Orlando)
- Fanny Maribona Chaviano
- Felix R Marichal, M.D.
- Marie Quinonez, Mdpa (Dr Q Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.