Individual provider Active NPI

Fatemah Alsatlan

  • Dentist
  • Gainesville, FL
National Provider Identifier
1558093070
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DRPM2374 Issued in FL
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

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
DRPM2374FLMDDentist

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.

Verify at the official NPI Registry.