Active NPI
Robert P Hearn, DDS
- Dentist
- Saint Petersburg, FL
National Provider Identifier
1205153186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN5398
- Practice address
- 2201 4TH St N
Ste C
Saint Petersburg, FL 33704-4300 - Phone
- (727) 823-2007
- Fax
- (727) 827-0984
- NPI assigned
- Apr 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN5398 | FL | Primary |
Addresses
Primary practice location
2201 4TH St N
Ste C
Saint Petersburg, FL 33704-4300
Mailing address
2201 4TH St N
Ste C
Saint Petersburg, FL 33704-4300
Phone (727) 823-2007
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN5398 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272585600000",
"number": "1205153186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 4TH ST N",
"address_2": "STE C",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337044300",
"telephone_number": "727-823-2007",
"fax_number": "727-827-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 4TH ST N",
"address_2": "STE C",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337044300",
"telephone_number": "727-823-2007",
"fax_number": "727-827-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-30",
"last_updated": "2010-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN5398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
- Healthy Lifestyles Tampa Bay LLC
- Angelique Eden Healy
- Maureen Healy, NURSE PRACTITIONER
- Hear Here Audiology, LLC
- Lauren Hearn, PHD
- Heart and Mind Wellness LLC
- Heart'S Desire Homemaker & Companion Services
- Heart'S Desire Homemaker & Companion Services, LLC
- Heart'S Desire Homemaker & Companion Services, LLC
- Heather Maturo Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.