Individual provider Active NPI

Imran Ali Hameedi, DMD

  • General Practice Dentistry
  • Altamonte Springs, FL
National Provider Identifier
1851635098
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19990 Issued in FL
Practice address
451 E Altamonte Dr
Suite 1279
Altamonte Springs, FL 32701-4613
Phone
(407) 261-0201
NPI assigned
Nov 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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 DN19990 FL Primary

Addresses

Primary practice location

451 E Altamonte Dr
Suite 1279
Altamonte Springs, FL 32701-4613

Mailing address

451 E Altamonte Dr
Suite 1279
Altamonte Springs, FL 32701-4613
Phone (407) 261-0201

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705003143 FL Order and Referring Only - DentistPractitioner - Dentist 1456658137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19990FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1851635098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E ALTAMONTE DR",
            "address_2": "SUITE 1279",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014613",
            "telephone_number": "407-261-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E ALTAMONTE DR",
            "address_2": "SUITE 1279",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014613",
            "telephone_number": "407-261-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEEDI",
        "first_name": "IMRAN",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-10",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.