Individual provider Active NPI

Sadaf Salehi Qeshmi

  • Dentist
  • Port Orange, FL
National Provider Identifier
1528756426
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30789 Issued in FL
Practice address
938 Bridgewater Dr
Port Orange, FL 32129-6108
Phone
(386) 597-1265
NPI assigned
Apr 27, 2023
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30789 FL Primary

Addresses

Primary practice location

938 Bridgewater Dr
Port Orange, FL 32129-6108

Mailing address

7111 N Blue Angel Pkwy Apt 3205
Pensacola, FL 32526-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30789FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1528756426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 N BLUE ANGEL PKWY APT 3205",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325265050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 BRIDGEWATER DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296108",
            "telephone_number": "386-597-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHI QESHMI",
        "first_name": "SADAF",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "30789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.