Individual provider Active NPI

Eduard Pocola, DDS

  • Dentist
  • Zephyrhills, FL
National Provider Identifier
1134510068
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21168 Issued in FL
Practice address
4924 Allen Rd
Zephyrhills, FL 33541-3526
Phone
(813) 779-8591
NPI assigned
Feb 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21168 FL Primary

Addresses

Primary practice location

4924 Allen Rd
Zephyrhills, FL 33541-3526

Mailing address

1679 Virginia Willow Dr
Wesley Chapel, FL 33544-6703
Phone (727) 505-5893

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
I20150805008881 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719291681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21168FLMDDentist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. Dentist Past Accepting new patients
Coast Dental P.a. Dentist PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1134510068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 VIRGINIA WILLOW DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446703",
            "telephone_number": "727-505-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 ALLEN RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335413526",
            "telephone_number": "813-779-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCOLA",
        "first_name": "EDUARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.