Individual provider Active NPI

Roberto Bellegarrigue, DMD

  • Dentist
  • Tampa, FL
National Provider Identifier
1073738183
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15537 Issued in FL
Practice address
3331 W Bearss Ave
Tampa, FL 33618-2100
Phone
(813) 968-5368
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15537 FL Primary

Addresses

Primary practice location

3331 W Bearss Ave
Tampa, FL 33618-2100

Mailing address

311 S Arrawana Ave Unit 1
Tampa, FL 33609-3258
Phone (813) 789-9091

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722004910 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426361270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1073738183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S ARRAWANA AVE UNIT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093258",
            "telephone_number": "813-789-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182100",
            "telephone_number": "813-968-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEGARRIGUE",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.