Florida Craniofacial Institute

Primary specialty

SpecialistTaxonomy code 174400000X

License

DN16594 Issued in FL

Legal business name

FLORIDA CRANIOFACIAL INSTITUTE

Practice address

4200 N Armenia Ave Ste 3
Tampa, FL 33607-6451

Phone

(813) 870-6000

Fax

(813) 870-6015

NPI assigned

Nov 1, 2006

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pat Ricalde, MD, DDSNPI 1487769287

Title

Owner

Phone

(813) 870-6000

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• Pat Ricalde, DDS MD

  • Specialist
  • Tampa, FL
  • NPI 1487769287
  Authorized official Same address or phone
• Oleg Kalsow, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Clearwater, FL
  • NPI 1275951972
  NPD (past)
• Alfred J Tennant, DDS

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1295909802
  NPD (past)
• Aparna Bhat, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Puyallup, WA
  • NPI 1710446513

  Oral & Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1053499756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076451",
            "telephone_number": "813-870-6000",
            "fax_number": "813-870-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076451",
            "telephone_number": "813-870-6000",
            "fax_number": "813-870-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 Automobile Blvd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337623826",
            "country_code": "US",
            "telephone_number": "813-870-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA CRANIOFACIAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-06-18",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "RICALDE",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-870-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "DN16594",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME88289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Clinical Quality Physicians Inc.
• Florida Coast Pharmacy
• Florida Coast Pharmacy
• Florida Concerned Care, LLC (Right at Home)
• Florida Craniofacial Associates LLC
• Florida Dental Practices, LLC
• Florida Dental Professionals, P.a. (Somerset Dental Care)
• Florida Department of Florida (Hillsborough County Health Department)
• Florida Department of Health
• Florida Department of Health (Hillsborough County Health Department)

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.