Individual provider Active NPI

Adam Vincent Nastars, DMD

  • Dentist
  • Tampa, FL
National Provider Identifier
1245961051
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27132 Issued in FL
Practice address
4711 S Himes Ave Apt 2210
Tampa, FL 33611-2629
Phone
(512) 745-5887
NPI assigned
Jun 22, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27132 FL Primary

Addresses

Primary practice location

4711 S Himes Ave Apt 2210
Tampa, FL 33611-2629

Mailing address

4711 S Himes Ave Apt 2210
Tampa, FL 33611-2629
Phone (512) 745-5887

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
DN27132FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1245961051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 S HIMES AVE APT 2210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112629",
            "telephone_number": "512-745-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 S HIMES AVE APT 2210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112629",
            "telephone_number": "512-745-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTARS",
        "first_name": "ADAM",
        "middle_name": "VINCENT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.