Individual provider Active NPI

Peter Habashy, DDS

  • General Practice Dentistry
  • Port Saint Lucie, FL
National Provider Identifier
1760919898
Registry record updated May 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22543 Issued in FL
Practice address
910 SW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-1766
Phone
(772) 785-9515
NPI assigned
May 19, 2017
Last updated
May 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22543 FL Primary

Addresses

Primary practice location

910 SW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-1766

Mailing address

4388 Golfers Cir W
Palm Beach Gardens, FL 33410-4632

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
DN22543FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Habashy Dental II, PA General Practice CurrentSince Sep 28, 2021 Accepting new patients
H3, PLLC General Practice Current Accepting new patients
Habashy Dental II, PA General Practice Current Accepting new patients
Peter M. Habashy, PA General Practice Past Accepting new patients
Warren Yazji Associates DDS PA General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1760919898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 GOLFERS CIR W",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW SAINT LUCIE WEST BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861766",
            "telephone_number": "772-785-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASHY",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.