Individual provider Active NPI

Aly Hany Morshed, DDS

  • General Practice Dentistry
  • Panama City, FL
National Provider Identifier
1730244948
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08391 Issued in IA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01454OtherIABLUE CROSS BLUE SHIELD
DN18413OtherFLFLORIDA LICENSE
001389900MedicaidFL
05082OtherNEBLUE CROSSBLUE SHIELD
08391OtherIADELTA DENTAL
1583088MedicaidIA
10024989800MedicaidNE

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
DN18413FLMDPublic Health Dentist
08391IAMDGeneral Practice Dentistry
6513NEMDGeneral 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.

Verify at the official NPI Registry.