Individual provider Active NPI

Ahmed Alzubaidi, D.M.D

  • Dentist
  • Davie, FL
National Provider Identifier
1851793640
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20691 Issued in FL
Practice address
7085 Nova Dr Apt 213
Davie, FL 33317-8107
Phone
(313) 333-5523
NPI assigned
Sep 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20691 FL Primary

Addresses

Primary practice location

7085 Nova Dr Apt 213
Davie, FL 33317-8107

Mailing address

7085 Nova Dr Apt 213
Davie, FL 33317-8107
Phone (313) 333-5523

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
I20160111000833 FL Order and Referring Only - DentistPractitioner - Dentist 1456653286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20691FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1851793640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 NOVA DR APT 213",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333178107",
            "telephone_number": "313-333-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 NOVA DR APT 213",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333178107",
            "telephone_number": "313-333-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZUBAIDI",
        "first_name": "AHMED",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "20691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.