Active NPI
Yasmeen Abugharbiyeh
- Dentist
- Davenport, FL
National Provider Identifier
1619665353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28423
- Practice address
- 43522 Highway 27
Davenport, FL 33837-6812 - Phone
- (863) 777-9890
- NPI assigned
- May 1, 2023
- Last updated
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN28423 | FL | Primary |
Addresses
Primary practice location
43522 Highway 27
Davenport, FL 33837-6812
Mailing address
43522 Highway 27
Davenport, FL 33837-6812
Phone (212) 305-6100
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231002002790 | FL | Order and Referring Only - Dentist | 6406200948 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1619665353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43522 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376812",
"telephone_number": "212-305-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43522 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376812",
"telephone_number": "863-777-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUGHARBIYEH",
"first_name": "YASMEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-07-25",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.