Kalamodeen Juman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

044317 Issued in NY

Practice address

3702 Astoria Blvd Ste 301
Astoria, NY 11103-3666

Phone

(718) 440-9858

NPI assigned

May 19, 2008

Last updated

Apr 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conrad V. Hibbert, DMD, PA

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1134253040
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1871750760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 ASTORIA BLVD STE 301",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033666",
            "telephone_number": "718-440-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 ASTORIA BLVD STE 301",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033666",
            "telephone_number": "718-440-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3702 Astoria Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111033666",
            "country_code": "US",
            "telephone_number": "718-440-9858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10794 Pines Blvd",
            "address_2": "Bldg 1, Suite 103",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263920",
            "country_code": "US",
            "telephone_number": "954-435-6636",
            "fax_number": "954-435-6947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUMAN",
        "first_name": "KALAMODEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "15569",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044317",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Astoria, NY
• Providers in Astoria, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.