Organization Active NPI

Dab Dental PLLC

  • Dentist
  • Tampa, FL
National Provider Identifier
1154773653
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19318 Issued in FL
Legal business name
DAB DENTAL PLLC
Practice address
14953 N Florida Ave
Tampa, FL 33613-1612
Phone
(813) 269-9360
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Dr. Daira M Avila Barakat, D.M.D
Title
Dentist
Phone
(786) 252-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19318 FL Primary

Addresses

Primary practice location

14953 N Florida Ave
Tampa, FL 33613-1612

Mailing address

3713 W Watrous Ave
Tampa, FL 33629-5132
Phone (786) 252-5995

National Provider Directory

National Provider Directory

Locations

14953 N Florida Ave
Tampa, FL 33613
Phone (813) 269-9360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1154773653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 W WATROUS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295132",
            "telephone_number": "786-252-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14953 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131612",
            "telephone_number": "813-269-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAB DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "AVILA BARAKAT",
        "authorized_official_first_name": "DAIRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-252-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19318",
            "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 Jul 7, 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.

Verify at the official NPI Registry.