SHADAN HAFSA
NPI 1699150110
Dentist - General Practice in Brandon, FL

Q: What is Shadan Hafsa's NPI number?

The NPI number for Shadan Hafsa is 1699150110. It was assigned to this individual provider in the NPPES registry on July 26, 2015.

Q: What is Shadan Hafsa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shadan Hafsa was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2015PECOS Enrolled

611 E BLOOMINGDALE AVE STE C, BRANDON, FL 33511(813) 820-0071(813) 820-0072 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2020, Jan 7, 2019 (2 updates tracked since 2019).

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About Shadan Hafsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADAN HAFSA (NPI 1699150110) is an individual general practice provider in Brandon, Florida, licensed in Florida (DN 21493) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699150110

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSHADAN HAFSA

Location Address611 E BLOOMINGDALE AVE STE CBrandon, FL 33511-8127

Mailing Address611 E Bloomingdale Ave Ste CBrandon, FL 33511-8127 · (813) 820-0071 · Fax (813) 820-0072

Phone(813) 820-0071

Fax(813) 820-0072

Sole ProprietorNo

Enumeration DateJuly 26, 2015

Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration

NPPES CertifiedOctober 29, 2020

✔ NPI 1699150110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN 21493

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

611 E BLOOMINGDALE AVE STE C, Brandon, FL 33511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadan Hafsa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL DAY LLC

Dentist (General Practice)

611 E BLOOMINGDALE AVE STE C
BRANDON, FL 33511

Hillsborough County (813) 820-0071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadan Hafsa's NPI number?

The NPI number for Shadan Hafsa is 1699150110. It was assigned to this individual provider in the NPPES registry on July 26, 2015.

Where is Shadan Hafsa located?

Shadan Hafsa practices at 611 E Bloomingdale Ave Ste C, Brandon, FL 33511. The listed phone number is (813) 820-0071.

What is Shadan Hafsa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shadan Hafsa enrolled in Medicare?

Yes. Shadan Hafsa is registered in the Medicare PECOS enrollment system.

What insurance does Shadan Hafsa accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Shadan Hafsa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadan Hafsa was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.