Organization Active NPI

Dental Associates of Florida (New Tampa) PLLC

  • Dentist
  • Tampa, FL
National Provider Identifier
1043760861
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL ASSOCIATES OF FLORIDA (NEW TAMPA) PLLC
Practice address
14201 Bruce B Downs Blvd
#1
Tampa, FL 33613-3906
Phone
(813) 977-6962
NPI assigned
Oct 5, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Mike Cole
Title
VP Insurance Plan Management
Phone
(941) 955-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X FL Primary

Addresses

Primary practice location

14201 Bruce B Downs Blvd
#1
Tampa, FL 33613-3906

Mailing address

14201 Bruce B Downs Blvd
#1
Tampa, FL 33613-3906
Phone (813) 977-6962

National Provider Directory

National Provider Directory

Locations

14201 Bruce B Downs Blvd
Ste 1
Tampa, FL 33613
Phone (813) 977-6962

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1043760861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD",
            "address_2": "#1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-977-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD",
            "address_2": "#1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-977-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF FLORIDA (NEW TAMPA) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "941-955-3150"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.