NPIMap

Individual provider Active NPI

Toby William Vanlandschoot, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Petersburg, FL
National Provider Identifier
1174660815
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN20169 Issued in FL
Practice address
7801 Dr Martin Luther King Jr St N
St Petersburg, FL 33702-1108
Phone
(727) 525-4499
NPI assigned
Jan 31, 2007
Last updated
Aug 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN20169 FL Primary

Addresses

Primary practice location

7801 Dr Martin Luther King Jr St N
St Petersburg, FL 33702-1108

Mailing address

5205 Osprey Ridge Dr
Lithia, FL 33547-4115
Phone (813) 957-2017

Other practice location 1

5205 Osprey Ridge Dr
Lithia, FL 33547-4115
Phone (813) 957-2017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 30, 2020 through Oct 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN20169FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Jun 22, 2021 Accepting new patients
Affiliated Dental Specialist PL Past Accepting new patients
Affiliated Dental Specialist Past Accepting new patients
David Hoffman Scottsdale Orthodontics PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Coast Florida P.a. PastSince Aug 18, 2019 Accepting new patients
TV Orthodontics, P.C. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Alan D. Shoopak, D.M.D., P.a. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Alan D Shoopak DMD Orthodontic Group VII LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Alan D Shoopak DMD Orthodontic Group VII LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Alan D Shoopak DMD Orthodontic Group VII LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

7801 Dr Martin Luther King St N
St Petersburg, FL 33702
Phone (727) 525-4499

Organizations & group practices 10

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1174660815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 OSPREY RIDGE DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474115",
            "telephone_number": "813-957-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337021108",
            "telephone_number": "727-525-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Osprey Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Lithia",
            "state": "FL",
            "postal_code": "335474115",
            "country_code": "US",
            "telephone_number": "813-957-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANLANDSCHOOT",
        "first_name": "TOBY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN20169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.