Individual provider Active NPI

Harry Panahi, D.M.D.

  • Dentist
  • Coral Springs, FL
National Provider Identifier
1932300688
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18481 Issued in FL
Practice address
8100 Royal Palm Blvd
Ste. 110
Coral Springs, FL 33065-5733
Phone
(954) 255-5858
Fax
(954) 255-9393
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18481 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8100 Royal Palm Blvd
Ste. 110
Coral Springs, FL 33065-5733

Mailing address

8100 Royal Palm Blvd
Ste. 110
Coral Springs, FL 33065-5733
Phone (954) 255-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18481FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldent Inc Dentist Current Accepting new patients

Locations

8100 Royal Palm Blvd
Ste 110
Coral Springs, FL 33065
Phone (954) 255-5858

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1932300688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ROYAL PALM BLVD",
            "address_2": "STE. 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655733",
            "telephone_number": "954-255-5858",
            "fax_number": "954-255-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ROYAL PALM BLVD",
            "address_2": "STE. 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655733",
            "telephone_number": "954-255-5858",
            "fax_number": "954-255-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAHI",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18481",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.