Individual provider Active NPI

Ana Maria Grama, DDS

  • Dentist
  • Tampa, FL
National Provider Identifier
1073971305
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 22347 Issued in FL
Practice address
10157 Heather Sound Dr
Tampa, FL 33647-2901
Phone
(813) 501-7603
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 22347 FL Primary

Addresses

Primary practice location

10157 Heather Sound Dr
Tampa, FL 33647-2901

Mailing address

10157 Heather Sound Dr
Tampa, FL 33647-2901
Phone (813) 501-7603

Other names 1

  • Dr. Ana Maria Peptan Former name

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
I20240116001209 FL Order and Referring Only - DentistPractitioner - Dentist 2668824699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 22347FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1073971305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10157 HEATHER SOUND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472901",
            "telephone_number": "813-501-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10157 HEATHER SOUND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472901",
            "telephone_number": "813-501-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMA",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 22347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "PEPTAN",
            "middle_name": "MARIA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.