Subanitha Elan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22252 Issued in FL

Practice address

1212 E Bearss Ave
Lutz, FL 33549-3525

Phone

(813) 397-5300

Fax

(813) 324-1643

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Tampa Family Health Centers Inc

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1356347413
  Medicare reassignment NPD
• Tampa Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1417953571
  NPD
• Tampa Family Health Centers, Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1831769579
  NPD

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1255876017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E BEARSS AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335493525",
            "telephone_number": "813-397-5300",
            "fax_number": "813-324-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Jasmine Way",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337564086",
            "country_code": "US",
            "telephone_number": "727-824-8181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Middletown Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471897",
            "country_code": "US",
            "telephone_number": "980-422-4707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2854 John F Kennedy Blvd",
            "address_2": "apt 912",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073064014",
            "country_code": "US",
            "telephone_number": "980-422-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELAN",
        "first_name": "SUBANITHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042006",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02658100",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Eckert, PHARMD
• Hannah Elise Efaw, M.S., BCBA
• Eip Global Inc
• Digna R Eizaguirre
• Isis El Ghannam, DDS
• Elder Services of Central Florida, Inc
• Elite Pain Specialists PA
• Deborah Elliot
• Nicole Dona-Maria Ellis, ARNP
• Albert J. Elumn, MD

• General Practice Dentistry in Lutz, FL
• Providers in Lutz, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.