Active NPI
Ali A. Vaziri, D.M.D.
- Dentist
- Leesburg, FL
National Provider Identifier
1700041324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14389
- Practice address
- 10601 US Highway 441 Ste C1B
Leesburg, FL 34788-7206 - Phone
- (352) 365-6442
- Fax
- (352) 365-8332
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN14389 | PA | Primary |
Addresses
Primary practice location
10601 US Highway 441 Ste C1B
Leesburg, FL 34788-7206
Mailing address
10601 U.S. Hwy 441
Leesburg, FL 34788
Phone (352) 365-6442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14389 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1700041324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10601 U.S. HWY 441",
"city": "LEESBURG",
"state": "FL",
"postal_code": "34788",
"telephone_number": "352-365-6442",
"fax_number": "352-365-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 US HIGHWAY 441 STE C1B",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347887206",
"telephone_number": "352-365-6442",
"fax_number": "352-365-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZIRI",
"first_name": "ALI",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DN14389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.