Active NPI
Jhon Andraous
- Dentist
- Port Richey, FL
National Provider Identifier
1003590985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28339
- Practice address
- 9682 US Highway 19
Port Richey, FL 34668-4642 - Phone
- (727) 842-2422
- NPI assigned
- Jun 12, 2023
- Last updated
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN28339 | FL | Primary |
Addresses
Primary practice location
9682 US Highway 19
Port Richey, FL 34668-4642
Mailing address
2980 Shannon Cir
Palm Harbor, FL 34684-1877
Phone (727) 303-2493
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN28339 | FL | MD | Dentist |
Networks
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO C-SNP
- FL HMO D-SNP
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1003590985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 SHANNON CIR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841877",
"telephone_number": "727-303-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9682 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346684642",
"telephone_number": "727-842-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRAOUS",
"first_name": "JHON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.