Hisham S Ayoub, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17640 Issued in FL

Practice address

111 N Pine Island Rd
Ste 101
Plantation, FL 33324-1836

Phone

(954) 473-6500

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Amora Dental

  • Dentist
  • Carrollton, TX
  • NPI 1023970993

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1629245295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WOODGATE CIR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333262137",
            "telephone_number": "954-647-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N PINE ISLAND RD",
            "address_2": "STE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241836",
            "telephone_number": "954-473-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "HISHAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aware Recovery Clinical Associates
• Ivan Luis Ayala, MD
• Victor H Ayala, M.D.
• Isabel Diaz Ayers, RN
• Chestcy Ayodele, MSN, APRN, FNP-BC
• Omid Azadi, DR.
• Veronica P Azcuenaga, PA-C
• Roberta Azevedo Denadai, RBT
• Rhonit Azoulay, B.A.
• B&B Homecare of Broward, LLC

• General Practice Dentistry in Plantation, FL
• Providers in Plantation, 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 May 13, 2008; 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.