Mohammad Uzair Bawany, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22524 Issued in FL

Practice address

1275 W Granada Blvd
Ormond Beach, FL 32174-8259

Phone

(386) 244-9838

NPI assigned

May 15, 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bawany LLC

  • Dental Clinic/Center
  • Tampa, FL
  • NPI 1568060762
  NPD Authorized official
• Cooper Dental Group

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1477334381
  NPD (past)

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1699202127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11756 S SIRACUS DR UNIT H310",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955580",
            "telephone_number": "954-234-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748259",
            "telephone_number": "386-244-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWANY",
        "first_name": "MOHAMMAD",
        "middle_name": "UZAIR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Barry, APRN
• Laure Barthelemy, CBHCM
• Kristin Royleen Barton, MA, CCC-SLP
• Victoria Marie Basso, NCC, CCJTS
• Jarrod William Battles
• Beach Dental Group Inc
• Stuart Beauchamp, DMD
• Dotsie L Beaulieu, COTA
• Alan Alfred Beauregard
• Shane Ian Becker, ARNP

• General Practice Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, 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 May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.