Individual provider Active NPI

Amanda Jean Rizner

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1093152613
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20251 Issued in FL
Practice address
7590 Fruitville Rd Ste 100
Sarasota, FL 34240-9712
Phone
(941) 529-0055
NPI assigned
May 23, 2013
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20251 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7590 Fruitville Rd Ste 100
Sarasota, FL 34240-9712

Mailing address

7590 Fruitville Rd Ste 100
Sarasota, FL 34240-9712
Phone (941) 529-0055

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
I20150602002271 FL Order and Referring Only - DentistPractitioner - Dentist 3971824954

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1093152613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 FRUITVILLE RD STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409712",
            "telephone_number": "941-529-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 FRUITVILLE RD STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409712",
            "telephone_number": "941-529-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZNER",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20251",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.