Active NPI
Timothy Sami Salib, DMD
- General Practice Dentistry
- Ormond Beach, FL
National Provider Identifier
1629233481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN18284
- Practice address
- 378 W Granada Blvd
Ormond Beach, FL 32174-6274 - Phone
- (386) 672-5595
- NPI assigned
- Jul 22, 2008
- Last updated
- Aug 28, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN18284 | FL | Primary |
Addresses
Primary practice location
378 W Granada Blvd
Ormond Beach, FL 32174-6274
Mailing address
4624 Harbour Village Blvd
Apt 4202
Ponce Inlet, FL 32127-7282
Phone (321) 759-1462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18284 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Past | Accepting new patients | |
| Timothy S Salib DMD PA | General Practice | Past | Accepting new patients |
| Coast Florida P.a. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Veranda Family Dentistry
- General Practice Dentistry
- Port St Lucie, FL
- NPI 1700543378
-
- Dentist
- Tampa, FL
- NPI 1730287673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1629233481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 HARBOUR VILLAGE BLVD",
"address_2": "APT 4202",
"city": "PONCE INLET",
"state": "FL",
"postal_code": "321277282",
"telephone_number": "321-759-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 W GRANADA BLVD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746274",
"telephone_number": "386-672-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIB",
"first_name": "TIMOTHY",
"middle_name": "SAMI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
- Sahai Pediatrics, P.a.
- Steven H Sahai, M.D.
- Sylvia Remun Said, DPT
- Salem Homes of Florida, Inc. (Rosewood Avenue Group Home)
- Salem Villages MRDD, Inc.
- Eric Saltsberg, PH.D., C.PED., CFO
- Saltwater Family Practice
- Saltwater Health & Wellness LLC
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
- Eleni Samaan, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.