NPIMap

Organization Active NPI

New Tampa Family Dentistry

  • General Practice Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1063924512
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18310 Issued in FL
Legal business name
NEW TAMPA FAMILY DENTISTRY
Practice address
1644 Bruce B Downs Blvd
Wesley Chapel, FL 33544-8600
Phone
(813) 333-5277
Fax
(813) 255-2688
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Dr. Kevin J Krause, DMD
Title
Owner
Phone
(863) 773-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN18310 FL Primary

Addresses

Primary practice location

1644 Bruce B Downs Blvd
Wesley Chapel, FL 33544-8600

Mailing address

1644 Bruce B Downs Blvd
Wesley Chapel, FL 33544-8600
Phone (813) 333-5277

National Provider Directory

National Provider Directory

Locations

1644 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 333-5277

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1063924512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 BRUCE B DOWNS BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448600",
            "telephone_number": "813-333-5277",
            "fax_number": "813-255-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 BRUCE B DOWNS BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448600",
            "telephone_number": "813-333-5277",
            "fax_number": "813-255-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TAMPA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-773-9344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.