Individual provider Active NPI

Omar F. Osman, DDS

  • General Practice Dentistry
  • Miami Shores, FL
National Provider Identifier
1811028756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15220 Issued in FL
Practice address
9101 Park Dr
Miami Shores, FL 33138-3159
Phone
(305) 754-0062
Fax
(305) 759-4464
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN15220 FL Primary

Addresses

Primary practice location

9101 Park Dr
Miami Shores, FL 33138-3159

Mailing address

9101 Park Dr
Miami Shores, FL 33138-3159
Phone (305) 754-0062

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
DN15220FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811028756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383159",
            "telephone_number": "305-754-0062",
            "fax_number": "305-759-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383159",
            "telephone_number": "305-754-0062",
            "fax_number": "305-759-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "OMAR",
        "middle_name": "F.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.