Individual provider Active NPI

Masroor Shariff, DMD

  • Dentist
  • Tampa, FL
National Provider Identifier
1750907564
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25383 Issued in FL
Practice address
3415 W Fletcher Ave
Tampa, FL 33618-2813
Phone
(813) 419-3808
NPI assigned
Jun 18, 2020
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25383 FL Primary

Addresses

Primary practice location

3415 W Fletcher Ave
Tampa, FL 33618-2813

Mailing address

13011 Terrace Brook PL
Temple Terrace, FL 33637-3009
Phone (813) 404-7613

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903001949 FL Order and Referring Only - DentistPractitioner - Dentist 6608293782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Dental, PLLC CurrentSince Nov 17, 2024 Accepting new patients
Coast Dental P.a. Dentist PastSince Jun 22, 2021 Accepting new patients
Coast Dental P.a. Dentist PastSince Jun 1, 2020 Accepting new patients

Locations

3415 W Fletcher Ave
Tampa, FL 33618
Phone (813) 416-4174

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1750907564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 TERRACE BROOK PL",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336373009",
            "telephone_number": "813-404-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182813",
            "telephone_number": "813-419-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIFF",
        "first_name": "MASROOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.