Ahmed Saleh Kiwan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21171 Issued in FL

Practice address

18990 S Tamiami TRL Ste 110
Fort Myers, FL 33908-4737

Phone

(239) 482-2296

NPI assigned

Jun 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

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.

• Coast Florida P.a.

  • Dentist
  • Fort Myers, FL
  • NPI 1437725892
  NPD (past)
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1861872061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 ROYAL WINDSOR LN APT 403",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193904",
            "telephone_number": "786-208-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18990 S TAMIAMI TRL STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084737",
            "telephone_number": "239-482-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH KIWAN",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Salaz, ARNP
• Jocelyn Salazar
• Jennifer Salcedo, PMHNP-BC
• Caroline N. Saleeby, PA-C
• Raja Khalid Saleem, M.D.
• Shawnee Nicole Salemi, RN
• Benjamin Andrew Salentine, MS
• Laritza Salgado Hernandez, DMD
• Brenda Soledad Salgado, CHILD WELFARE
• Claudia Juliana Salgado

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.