Individual provider Active NPI

Maram Bawazir, BDS

  • Oral and Maxillofacial Pathology Dentistry
  • Gainesville, FL
National Provider Identifier
1861979908
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
DRP1929 Issued in FL
Practice address
University of Florida Dentistry D8
Gainesville, FL 32610-0001
Phone
(352) 273-6698
NPI assigned
Jul 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X DRP1929 FL Primary

Addresses

Primary practice location

University of Florida Dentistry D8
Gainesville, FL 32610-0001

Mailing address

1395 Center Dr # D8-6
Gainesville, FL 32610-0414
Phone (800) 500-7585

Other identifiers 1

IdentifierTypeStateIssuer
DRP1929OtherFLUNIVERSITY OF FLORIDA

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

LicenseStateTypeSpecialty
DRP1929FLMDOral and Maxillofacial Pathology Dentist

NPI Registry JSON

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1861979908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR # D8-6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100414",
            "telephone_number": "800-500-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF FLORIDA DENTISTRY D8",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100001",
            "telephone_number": "352-273-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWAZIR",
        "first_name": "MARAM",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "FL",
            "license": "DRP1929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF FLORIDA",
            "identifier": "DRP1929",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.