Zineb Mediouni, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN18185 Issued in FL

Practice address

14502 N Dale Mabry Hwy
Ste 102
Tampa, FL 33618-2075

Phone

(813) 513-5045

Fax

(813) 513-5075

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 20, 2020 through Feb 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Zineb Mediouni DMD PA

  • Prosthodontics
  • Tampa, FL
  • NPI 1326650540
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1821208489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-513-5045",
            "fax_number": "813-513-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-513-5045",
            "fax_number": "813-513-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIOUNI",
        "first_name": "ZINEB",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN18185",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "8M886141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Medina, MD
• Santiago Medina
• Victoria Medina
• Vivian Medina, D.D.S.
• Yarelis Medina, LCSW
• Medipharm RX Inc
• Medipharm-RX,Inc.(Special Closed System)
• Meditech Medical Centers, LLC
• Mediwedge Inc
• Medizen Healthcare

• Prosthodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.