Shahab Samimi, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN22774 Issued in FL

Practice address

9303 Seminole Blvd Ste D
Seminole, FL 33772-3100

Phone

(727) 548-5454

NPI assigned

Jul 4, 2017

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

Locations

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.

• Seminole Dental, PA

  • Dental Clinic/Center
  • Seminole, FL
  • NPI 1164004982
  NPD Authorized official
• Neil M Brodsky DDS PA

  • Dental Clinic/Center
  • Seminole, FL
  • NPI 1033268206
  NPD (past)
• Westwood Family Dental Center

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1548217565
  NPD (past)

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1669993242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E CUMBERLAND AVE UNIT 430",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024233",
            "telephone_number": "561-779-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 SEMINOLE BLVD STE D",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337723100",
            "telephone_number": "727-548-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 State Road 60 E",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "33594",
            "country_code": "US",
            "telephone_number": "813-681-4874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7408 Monika Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336255826",
            "country_code": "US",
            "telephone_number": "813-852-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMIMI",
        "first_name": "SHAHAB",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-04",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura D Rustin, LMFT
• Kylie Sachs, LMT
• Annie Nicole Salem
• Zoe Salgado, MD
• Mario Salib
• Ann Marie Sanchez Zarrella, REGISTERED NURSE
• Tracey Sanderbeck, A.R.N.P.
• Rachel Anne Sanders, RN
• Sara Ariana Sarkhail, DMD
• Mark J. Sarno, O.D.

• Dentist in Seminole, FL
• Providers in Seminole, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.