Individual provider Active NPI

Sarah A Alkhazraji

  • Dental Hygienist
  • Gainesville, FL
National Provider Identifier
1992309280
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH26279 Issued in FL
Practice address
5021 NW 34TH Blvd Ste a
Gainesville, FL 32605-1191
Phone
(352) 371-7766
NPI assigned
Nov 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH26279 FL Primary

Addresses

Primary practice location

5021 NW 34TH Blvd Ste a
Gainesville, FL 32605-1191

Mailing address

9910 NW 25TH PL
Gainesville, FL 32606-5192
Phone (915) 764-8539

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
DH26279FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. PastSince Nov 29, 2020 Accepting new patients

Locations

5021 NW 34th Blvd
Ste A
Gainesville, FL 32605
Phone (352) 371-7766

Organizations & group practices 2

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": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1992309280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 NW 25TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065192",
            "telephone_number": "915-764-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 NW 34TH BLVD STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051191",
            "telephone_number": "352-371-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHAZRAJI",
        "first_name": "SARAH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH26279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; 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.