Individual provider Active NPI

Samuel Zfaz, D.D.S.

  • Periodontics
  • Miami Beach, FL
National Provider Identifier
1801088620
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN16891 Issued in FL
Practice address
400 Arthur Godfrey Rd
Suite 412
Miami Beach, FL 33140-3516
Phone
(305) 538-4556
Fax
(305) 538-2019
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN16891 FL Primary

Addresses

Primary practice location

400 Arthur Godfrey Rd
Suite 412
Miami Beach, FL 33140-3516

Mailing address

400 Arthur Godfrey Rd
Suite 412
Miami Beach, FL 33140-3516
Phone (305) 538-4556

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
DN16891FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1801088620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ARTHUR GODFREY RD",
            "address_2": "SUITE 412",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-538-4556",
            "fax_number": "305-538-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ARTHUR GODFREY RD",
            "address_2": "SUITE 412",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-538-4556",
            "fax_number": "305-538-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZFAZ",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.