Reema M. Bassoumi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26082 Issued in FL

Practice address

13361 W Colonial Dr
Winter Garden, FL 34787-3970

Phone

(407) 905-9622

Fax

(407) 877-6544

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1578136529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TECHNOLOGY PARK STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13361 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873970",
            "telephone_number": "407-905-9622",
            "fax_number": "407-877-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSOUMI",
        "first_name": "REEMA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taina Barrios
• Melissa Lynn Barry, MS,CCC-SLP
• Liam Anthony Barton, PHYSICAL THERAPIST
• Suzanne Basinger, MSW, LCSW
• Richard Wayne Bass, D.C.
• Jasmine Laniese Bateman, COTA
• Krystal Batista, R-DMT, RI-LMHC
• Matthew J. Bechor
• Deborah Lynne Beckmann, MA CCC-SLP
• Daniel Bedney, M.D.

• General Practice Dentistry in Winter Garden, FL
• Providers in Winter Garden, 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 Jul 19, 2021; 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.