Individual provider Active NPI

Sana F Yusuf, DMD

  • Dentist
  • Wesley Chapel, FL
National Provider Identifier
1669929295
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24648 Issued in FL
Practice address
5728 Post Oak Blvd
Wesley Chapel, FL 33544-4008
Phone
(813) 694-2278
NPI assigned
Sep 1, 2016
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24648 FL Primary
Dentist 122300000X 019.030748 IL

Addresses

Primary practice location

5728 Post Oak Blvd
Wesley Chapel, FL 33544-4008

Mailing address

5728 Post Oak Blvd
Wesley Chapel, FL 33544-4008
Phone (813) 694-2278

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
I20260220001254 FL Practitioner - Dentist 1658857511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN24648FLMDDentist
019.030748ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunkissed Smile Tampa, PLLC Current Accepting new patients
Flossophy Dental Co PLLC CurrentSince Apr 28, 2021 Accepting new patients
C V Kasiar LTD Past Accepting new patients

Locations

5728 Post Oak Blvd
Wesley Chapel, FL 33544
Phone (813) 694-2278

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1669929295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 POST OAK BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444008",
            "telephone_number": "813-694-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 POST OAK BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444008",
            "telephone_number": "813-694-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUF",
        "first_name": "SANA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24648",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.