Syamak Ghiai, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN12318 Issued in FL

Practice address

2194 Drew St
Clearwater, FL 33765-3214

Phone

(813) 991-1088

Fax

(813) 991-4817

NPI assigned

Oct 3, 2006

Last updated

Aug 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1750476107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 CLEVELAND ST STE 252",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653243",
            "telephone_number": "813-767-0489",
            "fax_number": "813-991-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653214",
            "telephone_number": "813-991-1088",
            "fax_number": "813-991-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIAI",
        "first_name": "SYAMAK",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN12318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ann Gessner, APRN
• Marc A Getka, M.D.
• Ameer Ghaisarnia, DPT
• Mohammad Hossein Gharavi, MD
• Richard Ghavami, M. D.
• Taylor Ann Gianangelo
• Laurie Ann Giancola, MA
• Marissa Gianvito
• Lora Gibbs, LMT
• Carolyn S. Gibson, RPTA

• Periodontics in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.

Verify at the official NPI Registry.