Organization Active NPI

Dna Critical Consulting LLC

  • Multi-Specialty Clinic/Center
  • Clearwater, FL
National Provider Identifier
1164951000
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DNA CRITICAL CONSULTING LLC
Practice address
2410 Northside Dr
Clearwater, FL 33761-2236
Phone
(727) 771-1300
Fax
(727) 781-3312
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Devendra N Amin, MD
Title
MBR
Phone
(727) 771-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

2410 Northside Dr
Clearwater, FL 33761-2236

Mailing address

2305 Kent PL
Clearwater, FL 33764-7526
Phone (727) 771-1300

National Provider Directory

National Provider Directory

Locations

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164951000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 KENT PL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337647526",
            "telephone_number": "727-771-1300",
            "fax_number": "727-781-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 NORTHSIDE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612236",
            "telephone_number": "727-771-1300",
            "fax_number": "727-781-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA CRITICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "DEVENDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "727-771-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.