Mohiuddin Ifaz

Primary specialty

DentistTaxonomy code 122300000X

License

DN24112 Issued in FL

Practice address

10448 Northcliffe Blvd
Spring Hill, FL 34608-3609

Phone

(954) 903-8587

NPI assigned

Jul 24, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Able Dental LLC

  • General Practice Dentistry
  • New Port Richey, FL
  • NPI 1477392421
  NPD Authorized official
• Northcliffe Dental Studio LLC

  • General Practice Dentistry
  • Spring Hill, FL
  • NPI 1225716780
  NPD Authorized official
• Valley Dental LLC

  • General Practice Dentistry
  • Riverview, FL
  • NPI 1487532586
  NPD Authorized official

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1609429018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 NORTHCLIFFE BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083609",
            "telephone_number": "954-903-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 NORTHCLIFFE BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083609",
            "telephone_number": "954-903-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFAZ",
        "first_name": "MOHIUDDIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24112",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Petrucce Hurst
• Amber Hutchinson, RPH
• Jessica L. Hutchinson, ARNP
• Trinh-Nguyen Huynh, PHARMD.
• Michael Ibrahim
• Catherine Maria Ihasz-Jentsch, RN
• Flavio Haruyo Iizuka, MD
• In Due Season Birth Center & Family Wellness-Spring Hill
• In Due Season Wellness Group LLC
• Independence Inn Inc

• Dentist in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.