NPIMap

Organization Active NPI

Family and Cosmetic Dentistry of Temple Terrace

  • Customized Equipment (DME)
  • Temple Terrace, FL
National Provider Identifier
1023540721
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
DN-0014538 Issued in FL
Legal business name
FAMILY AND COSMETIC DENTISTRY OF TEMPLE TERRACE
Practice address
224 Bullard Pkwy
Temple Terrace, FL 33617-5512
Phone
(813) 988-2729
Fax
(813) 988-8729
NPI assigned
Mar 31, 2017
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Miss Viviana Cabrera
Title
Office Manager
Phone
(813) 988-2729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X DN-0014538 FL Primary

Addresses

Primary practice location

224 Bullard Pkwy
Temple Terrace, FL 33617-5512

Mailing address

224 Bullard Pkwy
Temple Terrace, FL 33617-5512
Phone (813) 988-2729

Other identifiers 1

IdentifierTypeStateIssuer
071698700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Dr Luz Cabrera2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1023540721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BULLARD PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175512",
            "telephone_number": "813-988-2729",
            "fax_number": "813-988-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BULLARD PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175512",
            "telephone_number": "813-988-2729",
            "fax_number": "813-988-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND COSMETIC DENTISTRY OF TEMPLE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "VIVIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-988-2729",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "DN-0014538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071698700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.