Organization Active NPI

New Zephyrhills Dental

  • Dental Clinic/Center
  • Zephyrhills, FL
National Provider Identifier
1164785507
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEW ZEPHYRHILLS DENTAL
Practice address
37039 S.R. 54 West
Zephyrhills, FL 33542-7039
Phone
(813) 783-3700
Fax
(813) 783-9242
NPI assigned
Jun 20, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Vince Delle-Donne, DDS
Title
Owner
Phone
(813) 783-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

37039 S.R. 54 West
Zephyrhills, FL 33542-7039

Mailing address

37039 S.R. 54 West
Zephyrhills, FL 33542-7039
Phone (813) 783-3700

Other identifiers 1

IdentifierTypeStateIssuer
122300000XOtherFLDENTIST

National Provider Directory

National Provider Directory
Tax ID family
New Zephyrhills Dental PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

37039 Sr 54
Zephyrhills, FL 33542
Phone (813) 783-3700

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1164785507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37039 S.R. 54 WEST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427039",
            "telephone_number": "813-783-3700",
            "fax_number": "813-783-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37039 S.R. 54 WEST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427039",
            "telephone_number": "813-783-3700",
            "fax_number": "813-783-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ZEPHYRHILLS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "DELLE-DONNE",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-783-3700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "122300000X",
            "state": "FL"
        }
    ],
    "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 20, 2012; 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.