Active NPI
Anna A Dao, DMD
- Dentist
- Davenport, FL
National Provider Identifier
1043986359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26313
- Practice address
- 39863 Highway 27
Davenport, FL 33837-7802 - Phone
- (863) 216-3369
- Fax
- (863) 216-3368
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4547 | AR | |
| Dentist | 122300000X | 26313 | FL | Primary |
Addresses
Primary practice location
39863 Highway 27
Davenport, FL 33837-7802
Mailing address
39863 Highway 27
Davenport, FL 33837-7802
Phone (863) 216-3369
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 |
|---|---|---|---|
| 4547 | AR | MD | Dentist |
| 26313 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Dental Professionals Mongrain PA | Current | Accepting new patients | |
| Dao-Nguyen DMD PA | Current | Accepting new patients |
Locations
2909 S 74th St
Fort Smith, AR 72903
Phone (479) 452-7454
39863 Highway 27
Davenport, FL 33837
Phone (863) 216-3369
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Davenport, FL
- NPI 1114798246
-
- General Practice Dentistry
- Fort Smith, AR
- NPI 1225179088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1043986359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39863 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377802",
"telephone_number": "863-216-3369",
"fax_number": "863-216-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39863 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377802",
"telephone_number": "863-216-3369",
"fax_number": "863-216-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "ANNA",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4547",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "26313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.