Endodontic Associates of Tampa PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ENDODONTIC ASSOCIATES OF TAMPA PA

Practice address

11940 Sheldon Rd
Tampa, FL 33626-3643

Phone

(727) 796-2183

Fax

(727) 726-8827

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By 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. Raed S Al Kasem, D.D.S.,M.S.NPI 1306996384

Title

President

Phone

(727) 796-2183

Specialties & licenses 1

Addresses

Locations

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.

• Raed Shafia Al Kasem, DDS MS

  • Endodontics
  • Clearwater, FL
  • NPI 1306996384
  NPD (past) Authorized official
• William Leland Sainsbury, DMD

  • Endodontics
  • Tampa, FL
  • NPI 1437796166
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1053711036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 N MCMULLEN BOOTH RD STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-796-2183",
            "fax_number": "727-726-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263643",
            "telephone_number": "727-796-2183",
            "fax_number": "727-726-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF TAMPA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "AL KASEM",
        "authorized_official_first_name": "RAED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-796-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.