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Dr. Jodi Kodish-Stav , DDS

Dentist - General Practice β€’ Davie, FL

Active NPI 1366404113 Individual Practitioner Female Practitioner
Practice location in NPPES

3200 S University Dr
Davie, FL 333282018

Call 9542627214 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3200 S University Dr

Davie, FL 333282018

Telephone 9542627214
Fax 9542627355
Organization at the Same NPPES Address or Phone
Nova Southeastern University, Inc. Facility NPI 1780649194

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Davie and Florida

58 active clinicians are listed under Dentist - General Practice with a practice address in Davie, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Davie

0% of these 58 clinicians have the CMS telehealth indicator.

0% of these 58 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN0009253

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Hadi Al Masri , DO

Family Medicine - Geriatric Medicine

NPI 1720215122

Doctor of Osteopathic Medicine (D.O.)

Maegan Alos

Student in an Organized Health Care Education/Training Program

NPI 1487242509
Dr. Sahar Amini , DO

Internal Medicine

NPI 1538547096

Doctor of Osteopathic Medicine (D.O.)

Dr. Barbara Arcos , DO

Family Medicine

NPI 1629153010

Doctor of Osteopathic Medicine (D.O.)

Dr. Saleem Azad , DO

Family Medicine

NPI 1457896052

Doctor of Osteopathic Medicine (D.O.)

NPI 1891871331

Doctor of Optometry

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address October 24, 2022

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542621920)

βœ…
NPI Profile Active August 27, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 27, 2011

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542627214)

πŸ“
Business Mailing Address (Initial Record) August 27, 2011

Registered at 1550 PONCE DE LEON DR, FORT LAUDERDALE, FL 333161324 (Tel: 9544010440)

πŸ‘€
Provider Name / Credentials (Initial Record) August 27, 2011

Recorded as JODI KODISH-STAV, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2011

Dentist (license number reported to NPPES: FL DN0009253)

🟒
Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366404113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: October 24, 2022
Sole Proprietor: No

Other Dentist - General Practices in Davie

All Dentist - General Practices in Davie

Mailing Address

3200 S University Dr

Davie, FL 333282018

Phone: 9542621920

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.