Individual provider Active NPI

Bartlomiej Ladzinski

  • General Practice Dentistry
  • Zephyrhills, FL
National Provider Identifier
1174134381
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24914 Issued in FL
Practice address
5345 3Rd St
Zephyrhills, FL 33542-3928
Phone
(813) 782-2312
NPI assigned
Aug 11, 2020
Last updated
Dec 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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 DN24914 FL Primary

Addresses

Primary practice location

5345 3Rd St
Zephyrhills, FL 33542-3928

Mailing address

10116 Gibsonton Dr
Riverview, FL 33578-5305
Phone (708) 261-3717

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
DN24914FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All Dental Professional PLLC General Practice CurrentSince Dec 15, 2024 Accepting new patients
All Dental Professional New Tampa PLLC Current Accepting new patients
Sunshine Smile Designs PastSince Aug 23, 2020 Accepting new patients

Locations

10116 Gibsonton Dr
Riverview, FL 33578
Phone (708) 261-3717

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1174134381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785305",
            "telephone_number": "708-261-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 3RD ST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423928",
            "telephone_number": "813-782-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADZINSKI",
        "first_name": "BARTLOMIEJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24914",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 8, 2024; 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.