Active NPI
MHD Nadim Haidar, DDS
- Dentist
- Clermont, FL
National Provider Identifier
1811440076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22196
- Practice address
- 194 N Highway 27 Ste F
Clermont, FL 34711-2448 - Phone
- (352) 243-0018
- NPI assigned
- Jul 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | DN22196 | FL | Primary |
Addresses
Primary practice location
194 N Highway 27 Ste F
Clermont, FL 34711-2448
Mailing address
5908 Strada Capri Way
Orlando, FL 32835-3285
Phone (561) 809-3391
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22196 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nadim Haidar DDS LLC | Current | Accepting new patients | |
| Citrus Ridge Dental Center, PA | Dentist | Past | Accepting new patients |
Locations
194 N US Highway 27
Ste F
Clermont, FL 34711
Phone (352) 243-0018
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Clermont, FL
- NPI 1043838113
-
- Dentist
- Clermont, FL
- NPI 1023006426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506816000000",
"number": "1811440076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5908 STRADA CAPRI WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353285",
"telephone_number": "561-809-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 N HIGHWAY 27 STE F",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112448",
"telephone_number": "352-243-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDAR",
"first_name": "MHD NADIM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-25",
"last_updated": "2017-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.