Hayder A Kafaji, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23989 Issued in FL

Practice address

8529 Gunn Hwy
Odessa, FL 33556-3288

Phone

(603) 785-4662

NPI assigned

May 23, 2018

Last updated

Oct 6, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1679064950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28540 TRANQUIL LAKE CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436589",
            "telephone_number": "603-785-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 GUNN HWY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563288",
            "telephone_number": "603-785-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFAJI",
        "first_name": "HAYDER",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1679064950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather A Huyser
• Ideal Dental Odessa PLLC
• Independent Healthcare Services, LLC
• Integrative Therapy Solutions, Incorporated
• Janibelle Jackson Stuart
• Hugo Adam Keim, M.D.
• Kenneth M. Greenberg DDS & Nancy E. Freibaum DDS PA
• Michael Kern, PA-C
• Kids & Co Pediatric Dentistry
• Hilary Elizabeth Kingery

• General Practice Dentistry in Odessa, FL
• Providers in Odessa, 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 Oct 6, 2022; 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.