Active NPI
Fatemah Alsatlan
- Dentist
- Gainesville, FL
National Provider Identifier
1558093070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DRPM2374
- Practice address
- 1395 Center Dr # D1-19
Gainesville, FL 32610-3006 - Phone
- (352) 273-6910
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DRPM2374 | FL | Primary |
Addresses
Primary practice location
1395 Center Dr # D1-19
Gainesville, FL 32610-3006
Mailing address
1395 Center Dr # D1-19
Gainesville, FL 32610-3006
Phone (352) 273-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Alsatlanf@ufl.edu | ||
| CONNECT URL | Alsatlan.f@ufl.edu |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRPM2374 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1558093070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 CENTER DR # D1-19",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103006",
"telephone_number": "352-273-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR # D1-19",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103006",
"telephone_number": "352-273-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSATLAN",
"first_name": "FATEMAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DRPM2374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Alsatlanf@ufl.edu",
"affiliation": "N",
"address_1": "1395 Center Dr # D1-19",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326103006",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Alsatlan.f@ufl.edu",
"affiliation": "N",
"address_1": "1395 Center Dr # D1-19",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326103006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.