Organization Active NPI

Vespa Family Dental

Doing business as Pinellas Family Dental

  • Dentist
  • Largo, FL
National Provider Identifier
1174068886
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18889 Issued in FL
Legal business name
VESPA FAMILY DENTAL
Doing business as
Pinellas Family Dental
Practice address
120 1St Ave SW
Largo, FL 33770-3602
Phone
(727) 518-8349
Fax
(727) 518-8339
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Merlina Dines
Title
Office Administration
Phone
(727) 518-8349

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN18889 FL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN13194 FL
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN12919 FL
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN12953 FL

Addresses

Primary practice location

120 1St Ave SW
Largo, FL 33770-3602

Mailing address

120 1St Ave SW
Largo, FL 33770-3602
Phone (727) 518-8349

Other names 1

  • Pinellas Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinellas Family Dental2 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.

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1174068886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703602",
            "telephone_number": "727-518-8349",
            "fax_number": "727-518-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703602",
            "telephone_number": "727-518-8349",
            "fax_number": "727-518-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESPA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "DINES",
        "authorized_official_first_name": "MERLINA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATION",
        "authorized_official_telephone_number": "727-518-8349"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18889",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13194",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12919",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinellas Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.