Active NPI
Susan Sebring Carey, DMD
- Dentist
- St Petersburg, FL
National Provider Identifier
1255405593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0010459
- Practice address
- 1344 22ND St S
St Petersburg, FL 33712-2744 - Phone
- (727) 824-8108
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0010459 | FL | Primary |
Addresses
Primary practice location
1344 22ND St S
St Petersburg, FL 33712-2744
Mailing address
3623 S Beach Dr
Tampa, FL 33629-8222
Phone (813) 831-2535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0757489 | Medicaid | FL |
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 |
|---|---|---|---|
| 0010459 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255405593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 S BEACH DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298222",
"telephone_number": "813-831-2535",
"fax_number": "813-875-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 22ND ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337122744",
"telephone_number": "727-824-8108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "SUSAN",
"middle_name": "SEBRING",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "0010459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0757489",
"state": "FL"
}
],
"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.