Active NPI
Richard Neil Devita, DDS
- Endodontics
- Sarasota, FL
National Provider Identifier
1073630620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN0009590
- Practice address
- 3000 S Tamiami TRL
Sarasota, FL 34239-5107 - Phone
- (941) 957-3636
- Fax
- (941) 366-1299
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN0009590 | FL | Primary |
Addresses
Primary practice location
3000 S Tamiami TRL
Sarasota, FL 34239-5107
Mailing address
3000 S Tamiami TRL
Sarasota, FL 34239-5107
Phone (941) 957-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060224000528 | FL | Practitioner - Oral Surgery | 9335155522 | Practice locations: Sarasota, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0009590 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073630620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395107",
"telephone_number": "941-957-3636",
"fax_number": "941-366-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395107",
"telephone_number": "941-957-3636",
"fax_number": "941-366-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITA",
"first_name": "RICHARD",
"middle_name": "NEIL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN0009590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.