Individual provider Active NPI

Andel Arun Sinanan

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1073168258
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24277 Issued in FL
Practice address
1965 34TH St N
St Petersburg, FL 33713-3605
Phone
(727) 321-0899
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24277 FL Primary

Addresses

Primary practice location

1965 34TH St N
St Petersburg, FL 33713-3605

Mailing address

1965 34TH St N
St Petersburg, FL 33713-3605
Phone (727) 321-0899

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

LicenseStateTypeSpecialty
DN24277FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Denture & Implants - St. Petersburg II, P.a. CurrentSince Mar 30, 2025 Accepting new patients

Locations

1965 34th St N
St Petersburg, FL 33713
Phone (727) 321-0899

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1073168258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 34TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337133605",
            "telephone_number": "727-321-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 34TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337133605",
            "telephone_number": "727-321-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINANAN",
        "first_name": "ANDEL",
        "middle_name": "ARUN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.