Individual provider Active NPI

Faisal Soleman Mirdad

  • Prosthodontics
  • Gainesville, FL
National Provider Identifier
1710835152
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DRPM2803 Issued in FL
Practice address
1395 Center Dr. Room D1-19, Gainesville, FL 32610
Gainesville, FL 32608
Phone
(352) 246-0349
NPI assigned
Mar 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DRPM2803 FL Primary

Addresses

Primary practice location

1395 Center Dr. Room D1-19, Gainesville, FL 32610
Gainesville, FL 32608

Mailing address

1395 Center Dr. Room D1-19, Gainesville, FL 32610
Gainesville, FL 32608

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

LicenseStateTypeSpecialty
DRPM2803FLMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1710835152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR. ROOM D1-19, GAINESVILLE, FL 32610",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR. ROOM D1-19, GAINESVILLE, FL 32610",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-246-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRDAD",
        "first_name": "FAISAL",
        "middle_name": "SOLEMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DRPM2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.