Active NPI
Sandra A Worman, DDS
- Pediatric Dentistry
- St Petersburg, FL
National Provider Identifier
1205949799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN014398
- Practice address
- 5353 1St Ave South
Suite B
St Petersburg, FL 33707-6519 - Phone
- (727) 321-6911
- Fax
- (727) 328-2120
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN014398 | FL | Primary |
Addresses
Primary practice location
5353 1St Ave South
Suite B
St Petersburg, FL 33707-6519
Mailing address
5353 1St Ave South
Suite B
St Petersburg, FL 33707-6519
Phone (727) 321-6911
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 |
|---|---|---|---|
| DN014398 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a Worman DDS PA | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- St Petersburg, FL
- NPI 1023021359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205949799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 1ST AVE SOUTH",
"address_2": "SUITE B",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337076519",
"telephone_number": "727-321-6911",
"fax_number": "727-328-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 1ST AVE SOUTH",
"address_2": "SUITE B",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337076519",
"telephone_number": "727-321-6911",
"fax_number": "727-328-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORMAN",
"first_name": "SANDRA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN014398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.