Active NPI
Dana M Busciglio Diaz, DMD
- Pediatric Dentistry
- Lithia, FL
National Provider Identifier
1245457183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN16945
- Practice address
- 5601 Skytop Dr
Lithia, FL 33547 - Phone
- (813) 603-8800
- Fax
- (813) 603-8801
- NPI assigned
- Apr 20, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 16945 | FL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN16945 | FL | |
| Pediatric Dentistry | 1223P0221X | DN16945 | FL | Primary |
Addresses
Primary practice location
5601 Skytop Dr
Lithia, FL 33547
Mailing address
5601 Skytop Dr
Lithia, FL 33547-4165
Phone (813) 603-8800
Other practice location 1
10924 Cross Creek Blvd
Tampa, FL 33647-4034
Phone (813) 982-1777
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 |
|---|---|---|---|
| DN 16945 | FL | MD | Dentist |
| DN16945 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1245457183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 SKYTOP DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474165",
"telephone_number": "813-603-8800",
"fax_number": "813-603-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 SKYTOP DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "33547",
"telephone_number": "813-603-8800",
"fax_number": "813-603-8801"
}
],
"practiceLocations": [
{
"address_1": "10924 Cross Creek Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336474034",
"country_code": "US",
"telephone_number": "813-982-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSCIGLIO DIAZ",
"first_name": "DANA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 16945",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN16945",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN16945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.