Active NPI
Rana Azhan Ahmad, DDS
- Dentist
- Trenton, FL
National Provider Identifier
1750124335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29015
- Practice address
- 911 S Main St
Trenton, FL 32693-3239 - Phone
- (352) 463-4526
- Fax
- (352) 463-6271
- NPI assigned
- Jun 13, 2024
- Last updated
- Jan 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN29015 | FL | Primary |
Addresses
Primary practice location
911 S Main St
Trenton, FL 32693-3239
Mailing address
23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919000989 | FL | Order and Referring Only - Dentist | 3971044801 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN29015 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1750124335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23476 NW 186TH AVE",
"city": "HIGH SPRINGS",
"state": "FL",
"postal_code": "326430673",
"telephone_number": "386-454-0698",
"fax_number": "386-454-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S MAIN ST",
"city": "TRENTON",
"state": "FL",
"postal_code": "326933239",
"telephone_number": "352-463-4526",
"fax_number": "352-463-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "RANA AZHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-13",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.