Erika Sue Pettinato, D.M.D., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN14644 Issued in FL

Practice address

14497 N Dale Mabry Hwy
Suite 100
Tampa, FL 33618-2047

Phone

(813) 265-1200

Fax

(813) 265-1203

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Erika Pettinato James Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Office Anesthesia Supplies and Equipment LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1740444959
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255420642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 SADDLEBROOK WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434339",
            "telephone_number": "813-857-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14497 N DALE MABRY HWY",
            "address_2": "SUITE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182047",
            "telephone_number": "813-265-1200",
            "fax_number": "813-265-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINATO",
        "first_name": "ERIKA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN14644",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "DN19886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "JAMES",
            "middle_name": "PETTINATO",
            "prefix": "DR.",
            "credential": "D.M.D., M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Terryl Ann Petropoulos, DMD
• Christopher Anthony Petrotto, DDS
• Raymond Anthony Petrus II, D.O.
• Christine Evon Petschel, ARNP
• Brittany Nicole Pettenger, PA-C
• Jason Pettit, RBT
• Matthew J Pettit, APRN
• Meta Lashon Petty, LCSW
• Michelle L Petty, M.S., LMHC
• Janet Sue Pettyjohn, D.O.

• Pediatric Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Dentistry in Florida

• 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.

Verify at the official NPI Registry.