Individual provider Active NPI

Reham El-Hennawey, DDS

  • Endodontics
  • Tampa, FL
National Provider Identifier
1891008272
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN22511 Issued in FL
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

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620001373 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7214205087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22511FLMDEndodontist
EN60OKMDEndodontist

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

Verify at the official NPI Registry.