Bassel Gebrael, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN15557 Issued in FL

Practice address

3146B Northside Drive
Key West, FL 33040

Phone

(305) 294-4661

NPI assigned

Jun 29, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912104399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SOUTH OCEAN DRIVE",
            "address_2": "#4303",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097716",
            "telephone_number": "954-815-8040",
            "fax_number": "954-456-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146B NORTHSIDE DRIVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-294-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRAEL",
        "first_name": "BASSEL",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dave Jimenes Galvizo, IDHS
• Marie J Gann
• Alicia Nicole Garcia
• Rachel Garcia
• Tammy Geanoulis, MA
• Michel Jean-Marie Gehin, AP
• David Lamar Geist, RPH., PHARM.D.
• Genesiscare USA of Florida LLC (Marta A Gonzalez Cancer Center)
• George D Peterson MD PA
• Delia Gerard

• Periodontics in Key West, FL
• Providers in Key West, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.