Organization Active NPI

Tampa Bay Dental Sleep Therapy, LLC

  • Dental Clinic/Center
  • Inverness, FL
National Provider Identifier
1033549266
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN15084 Issued in FL
Legal business name
TAMPA BAY DENTAL SLEEP THERAPY, LLC
Practice address
330 S Line Ave
Inverness, FL 34452-4606
Phone
(813) 690-1736
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Dr. Fadi Y Fares, D.M.D.NPI 1487677639
Title
Owner
Phone
(813) 690-1736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN15084 FL Primary

Addresses

Primary practice location

330 S Line Ave
Inverness, FL 34452-4606

Mailing address

12948 Seronera Valley CT
Spring Hill, FL 34610-7667
Phone (813) 690-1736

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1033549266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12948 SERONERA VALLEY CT",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346107667",
            "telephone_number": "813-690-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524606",
            "telephone_number": "813-690-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY DENTAL SLEEP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "FARES",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-690-1736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN15084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.