Individual provider Active NPI

Amani Almamoun Alkhairi, D.M.D

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1669743092
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16122 Issued in FL
Practice address
1009 Amber Rd
Orlando, FL 32807-3427
Phone
(407) 282-0134
Fax
(407) 282-8251
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16122 FL Primary

Addresses

Primary practice location

1009 Amber Rd
Orlando, FL 32807-3427

Mailing address

1009 Amber Rd
Orlando, FL 32807-3427
Phone (407) 282-0134

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428001047 FL Order and Referring Only - DentistPractitioner - Dentist 6002115854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16122FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amani Alkhairi DMD PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1669743092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 AMBER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073427",
            "telephone_number": "407-282-0134",
            "fax_number": "407-282-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 AMBER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073427",
            "telephone_number": "407-282-0134",
            "fax_number": "407-282-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHAIRI",
        "first_name": "AMANI",
        "middle_name": "ALMAMOUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.