Tasneem Chaballout, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23320 Issued in FL

Practice address

30752 Sr 54
Wesley Chapel, FL 33543-6009

Phone

(813) 364-0270

Fax

(813) 364-0271

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerald Dental Care

  • Dental Clinic/Center
  • Wesley Chapel, FL
  • NPI 1710704648
  NPD Authorized official

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1558717223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30752 SR 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436009",
            "telephone_number": "813-364-0270",
            "fax_number": "813-364-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30752 SR 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436009",
            "telephone_number": "813-364-0270",
            "fax_number": "813-364-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABALLOUT",
        "first_name": "TASNEEM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "1508",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CDM Chiros LLC
• Andrea Cennington, LCSW
• Brandy Jo Centers, APRN
• Centerwell Senior Primary Care FL JV PLLC
• Patrick K Cestone, CRNA
• Binetta Chacko
• Wanda Ivette Chacon, APRN
• Avery Madison Chadwell
• Alexandra Chahine, OTD, OTR
• Nelly Durr Chambers, M.D.

• General Practice Dentistry in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.