Individual provider Active NPI

Pedro Anibal Belaunzaran, D.D.S

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1164513610
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013554 Issued in FL
Practice address
8130 W Waters Ave Ste 200B
Tampa, FL 33615-1855
Phone
(813) 243-4142
Fax
(813) 886-1660
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0013554 FL Primary

Addresses

Primary practice location

8130 W Waters Ave Ste 200B
Tampa, FL 33615-1855

Mailing address

8130 W Waters Ave Ste 200B
Tampa, FL 33615-1855
Phone (813) 243-4142

Other identifiers 2

IdentifierTypeStateIssuer
42014OtherFLATLANTIC DENTAL INSURANCE
3663OtherFLCOMPBENEFITS

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

LicenseStateTypeSpecialty
DN0013554FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro a. Belaunzaran DDS PA Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164513610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 W WATERS AVE STE 200B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151855",
            "telephone_number": "813-243-4142",
            "fax_number": "813-886-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 W WATERS AVE STE 200B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151855",
            "telephone_number": "813-243-4142",
            "fax_number": "813-886-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAUNZARAN",
        "first_name": "PEDRO",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIC DENTAL INSURANCE",
            "identifier": "42014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS",
            "identifier": "3663",
            "state": "FL"
        }
    ],
    "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 8, 2007; 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.