Active NPI
Coast Dental of Texas, PC
- Dentist
- Tampa, FL
National Provider Identifier
1053607929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COAST DENTAL OF TEXAS, PC
- Practice address
- 5706 Benjamin Center Dr Ste 103
Tampa, FL 33634 - Phone
- (813) 350-7160
- Fax
- (813) 434-2325
- NPI assigned
- Jun 20, 2011
- Last updated
- May 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darlene Finnell
- Title
- Director of Credentialing
- Phone
- (813) 350-7160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | TX | Primary |
Addresses
Primary practice location
5706 Benjamin Center Dr Ste 103
Tampa, FL 33634
Mailing address
5706 Benjamin Center Dr Ste 103
Tampa, FL 33634-5262
Phone (813) 350-7160
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Tampa, FL
- NPI 1588775290
-
- General Practice Dentistry
- Fort Hood, TX
- NPI 1982255436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527638400000",
"number": "1053607929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 BENJAMIN CENTER DR STE 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345262",
"telephone_number": "813-350-7160",
"fax_number": "813-434-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 BENJAMIN CENTER DR STE 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "33634",
"telephone_number": "813-350-7160",
"fax_number": "813-434-2325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COAST DENTAL OF TEXAS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-20",
"last_updated": "2018-05-30",
"status": "A",
"authorized_official_last_name": "FINNELL",
"authorized_official_first_name": "DARLENE",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "813-350-7160"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Coalition Medical Company, LLC
- Coast Brandon Town Center P.L.
- Coast Dental of Georgia P.C.
- Coast Dental of Nevada Inc
- Coast Dental of South Georgia PC (Coast Dental- Fort Stewart)
- Coast Dental P.a. (Coast Dental-Hyde Park)
- Coast Dental P.a.
- Coast Florida P.a. (Coast Dental-New Tampa)
- Coast Florida P.a. (Coast Dental-Carrollwood)
- Coast Florida P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.