Individual provider Active NPI

Mohamed Aly Ibrahim Youssef, DMD

  • Dentist
  • Tallahassee, FL
National Provider Identifier
1962998971
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23417 Issued in FL
Practice address
3652 Coolidge CT
Tallahassee, FL 32311-7890
Phone
(850) 222-0049
NPI assigned
Jul 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23417 FL Primary

Addresses

Primary practice location

3652 Coolidge CT
Tallahassee, FL 32311-7890

Mailing address

20722 Romagna PL
Venice, FL 34293-3276
Phone (941) 303-0690

Other practice location 1

1970 Gainsborough Dr Ste 2
Tallahassee, FL 32311-2717
Phone (850) 765-3040

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
DN23417FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. CurrentSince Jun 25, 2023 Accepting new patients

Locations

3652 Coolidge Ct
Tallahassee, FL 32311
Phone (850) 222-0049

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1962998971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20722 ROMAGNA PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933276",
            "telephone_number": "941-303-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 COOLIDGE CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117890",
            "telephone_number": "850-222-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Gainsborough Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323112717",
            "country_code": "US",
            "telephone_number": "850-765-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "MOHAMED",
        "middle_name": "ALY IBRAHIM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.