Active NPI
Sana Abdel-Jabbar, D.M.D
- Dentist
- Boca Raton, FL
National Provider Identifier
1801248372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 21987
- Practice address
- 350 Club Cir Apt 202
Boca Raton, FL 33487-3743 - Phone
- (954) 612-5338
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 21987 | FL | Primary |
Addresses
Primary practice location
350 Club Cir Apt 202
Boca Raton, FL 33487-3743
Mailing address
350 Club Cir Apt 202
Boca Raton, FL 33487-3743
Phone (954) 612-5338
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161214001719 | FL | Order and Referring Only - Dentist | 5991085615 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 21987 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1801248372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CLUB CIR APT 202",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873743",
"telephone_number": "954-612-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CLUB CIR APT 202",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873743",
"telephone_number": "954-612-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEL-JABBAR",
"first_name": "SANA",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 21987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.