Fatima Shuayb, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28222 Issued in FL

Practice address

12900 Cortez Blvd Ste 201
Brooksville, FL 34613-7808

Phone

(352) 397-9689

NPI assigned

Aug 15, 2023

Last updated

Sep 11, 2023By 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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1578346391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17665 BELLAVISTA LOOP # 1420",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585658",
            "telephone_number": "352-442-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD STE 201",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137808",
            "telephone_number": "352-397-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUAYB",
        "first_name": "FATIMA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Radiology Services of Pinellas, Inc.
• Jatin Natvarlal Sheth, MD
• Ryan Shirley, PT
• Elina Shkolnik, DO
• Shoreline Urocare PL
• Husam E Shuayb, MD
• Gail Shue, CRNA
• Gowtham Siddi
• Nadia Siddiqui
• Simesme LLC D/B/a Carepatrol of North Tampa Bay (CarePatrol of North Tampa Bay)

• General Practice Dentistry in Brooksville, FL
• Providers in Brooksville, 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 Sep 11, 2023; 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.