Individual provider Active NPI

Huda Niwash

  • General Practice Dentistry
  • Temple Terrace, FL
National Provider Identifier
1679294177
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27517 Issued in FL
Practice address
13245 Sanctuary Cove Dr Unit 101
Temple Terrace, FL 33637-2208
Phone
(813) 539-7603
NPI assigned
Sep 5, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN27517 FL Primary

Addresses

Primary practice location

13245 Sanctuary Cove Dr Unit 101
Temple Terrace, FL 33637-2208

Mailing address

13245 Sanctuary Cove Dr Unit 101
Temple Terrace, FL 33637-2208

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
I20231116001204 FL Order and Referring Only - DentistPractitioner - Dentist 8527415314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN27517FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1679294177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 SANCTUARY COVE DR UNIT 101",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336372208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 SANCTUARY COVE DR UNIT 101",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336372208",
            "telephone_number": "813-539-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIWASH",
        "first_name": "HUDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.