Active NPI
Eduard Pocola, DDS
- Dentist
- Zephyrhills, FL
National Provider Identifier
1134510068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21168
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150805008881 | FL | Order and Referring Only - Oral Surgery | 7719291681 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21168 | FL | MD | Dentist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Dental P.a. | Dentist | Past | Accepting new patients |
| Coast Dental P.a. | Dentist | Past | 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.
-
- Dentist
- Zephyrhills, FL
- NPI 1285200519
-
- Dentist
- Tampa, FL
- NPI 1992803860
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.