Active NPI
Aly Hany Morshed, DDS
- General Practice Dentistry
- Panama City, FL
National Provider Identifier
1730244948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08391
- Practice address
- 3518 E 15TH St
Panama City, FL 32404-5831 - Phone
- (850) 872-4455
- Fax
- (850) 747-5660
- NPI assigned
- Dec 27, 2006
- Last updated
- Feb 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DN18413 | FL | |
| General Practice Dentistry | 1223G0001X | 6513 | NE | |
| General Practice Dentistry | 1223G0001X | 08391 | IA | Primary |
Addresses
Primary practice location
3518 E 15TH St
Panama City, FL 32404-5831
Mailing address
3518 E 15TH St
Panama City, FL 32404-5831
Phone (850) 872-4455
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01454 | Other | IA | BLUE CROSS BLUE SHIELD |
| DN18413 | Other | FL | FLORIDA LICENSE |
| 001389900 | Medicaid | FL | |
| 05082 | Other | NE | BLUE CROSSBLUE SHIELD |
| 08391 | Other | IA | DELTA DENTAL |
| 1583088 | Medicaid | IA | |
| 10024989800 | Medicaid | NE |
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 |
|---|---|---|---|
| DN18413 | FL | MD | Public Health Dentist |
| 08391 | IA | MD | General Practice Dentistry |
| 6513 | NE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1730244948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3518 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324045831",
"telephone_number": "850-872-4455",
"fax_number": "850-747-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324045831",
"telephone_number": "850-872-4455",
"fax_number": "850-747-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSHED",
"first_name": "ALY",
"middle_name": "HANY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "FL",
"license": "DN18413",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6513",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01454",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "DN18413",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001389900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSBLUE SHIELD",
"identifier": "05082",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "08391",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1583088",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024989800",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.