Active NPI
Chaoukat Alsakati, DDS
- Dentist
- Port Charlotte, FL
National Provider Identifier
1891475463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28340
- Practice address
- 18700 Veterans Blvd Unit 1
Port Charlotte, FL 33954-1037 - Phone
- (941) 315-6363
- NPI assigned
- Jul 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28340 | FL | Primary |
Addresses
Primary practice location
18700 Veterans Blvd Unit 1
Port Charlotte, FL 33954-1037
Mailing address
320 Central Ave Unit 506
Sarasota, FL 34236-5136
Phone (941) 298-3688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 24, 2024 through Apr 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28340 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1891475463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 CENTRAL AVE UNIT 506",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342365136",
"telephone_number": "941-298-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 VETERANS BLVD UNIT 1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339541037",
"telephone_number": "941-315-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSAKATI",
"first_name": "CHAOUKAT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-19",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.