Active NPI
Andrew Michael Vallo, D.D.S
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1114379500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN24420
- Practice address
- 10909 W Linebaugh Ave Ste 100
Tampa, FL 33626-1741 - Phone
- (813) 536-7766
- NPI assigned
- Jul 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3024737 | OH | |
| General Practice Dentistry | 1223G0001X | DN24420 | FL | Primary |
Addresses
Primary practice location
10909 W Linebaugh Ave Ste 100
Tampa, FL 33626-1741
Mailing address
12425 Seabrook Dr
Tampa, FL 33626-2432
Phone (412) 389-0977
Other practice location 1
600 W 3rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3024737 | OH | MD | Dentist |
| DN24420 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740873600000",
"number": "1114379500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12425 SEABROOK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262432",
"telephone_number": "412-389-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10909 W LINEBAUGH AVE STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261741",
"telephone_number": "813-536-7766"
}
],
"practiceLocations": [
{
"address_1": "600 W 3rd St",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449062633",
"country_code": "US",
"telephone_number": "419-522-6191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLO",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-08",
"last_updated": "2025-03-02",
"certification_date": "2025-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "3024737",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN24420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.