Active NPI
Thomas A Saitta, DDS
- General Practice Dentistry
- Greenacres, FL
National Provider Identifier
1104050319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0011537
- Practice address
- 6609 Forest Hill Blvd
Greenacres, FL 33413-3303 - Phone
- (561) 964-2002
- Fax
- (561) 964-9606
- NPI assigned
- May 4, 2009
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN0011537 | FL | Primary |
Addresses
Primary practice location
6609 Forest Hill Blvd
Greenacres, FL 33413-3303
Mailing address
6609 Forest Hill Blvd
Greenacres, FL 33413-3303
Phone (561) 964-2002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN0011357 | Other | FL | DENTIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN0011537 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1104050319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6609 FOREST HILL BLVD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334133303",
"telephone_number": "561-964-2002",
"fax_number": "561-964-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6609 FOREST HILL BLVD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334133303",
"telephone_number": "561-964-2002",
"fax_number": "561-964-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAITTA",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0011537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "DN0011357",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.