Active NPI
Reham El-Hennawey, DDS
- Endodontics
- Tampa, FL
National Provider Identifier
1891008272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN22511
- Practice address
- 777 N Ashley Dr Unit 2312
Tampa, FL 33602-4378 - Phone
- (585) 275-5051
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | EN60 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | DN22511 | FL | Primary |
Addresses
Primary practice location
777 N Ashley Dr Unit 2312
Tampa, FL 33602-4378
Mailing address
777 N Ashley Dr Unit 2312
Tampa, FL 33602-4378
Phone (585) 275-5051
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170620001373 | FL | Order and Referring Only - Other (Physician) | 7214205087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22511 | FL | MD | Endodontist |
| EN60 | OK | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1891008272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 N ASHLEY DR UNIT 2312",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024378",
"telephone_number": "585-275-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N ASHLEY DR UNIT 2312",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024378",
"telephone_number": "585-275-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-HENNAWEY",
"first_name": "REHAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OK",
"license": "EN60",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN22511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.