Sumayya Mujeeb, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25068 Issued in FL

Practice address

660 E Eau Gallie Blvd Ste 1
Indian Harbour Beach, FL 32937-4252

Phone

(321) 777-7474

NPI assigned

Jun 29, 2020

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• MSZ Associates, PLLC

  dba Stellar Family Dental

  • Dental Clinic/Center
  • Kissimmee, FL
  • NPI 1821798901

  General Practice

  NPD Authorized official
• New Image Dentistry of Beachside

  • Dentist
  • Indian Harbour Beach, FL
  • NPI 1588078356
  NPD (past)
• Professional Dental Alliance of Beachside, PLLC

  dba New Image Dentistry Beachside

  • Dentist
  • Indian Harbour Beach, FL
  • NPI 1669951489
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1750908422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526709",
            "telephone_number": "321-514-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD STE 1",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374252",
            "telephone_number": "321-777-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJEEB",
        "first_name": "SUMAYYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "25068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Michaud, LCSW
• Alan H Miles, O.D.
• Kimberly V Mills, OTRL
• Adele Mitchell, CCC-SLP
• Andrew N Mize, LMHC
• My Vital View, LLC
• My Vital View, LLC
• Naomi J Aguilera, OD LLC (Spectrum Vision)
• Deborah Anne Nemetz, MPT
• New Image Dentistry of Beachside

• General Practice Dentistry in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.