John David Dos Passos II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12680 Issued in FL

Practice address

2114 W Brandon Blvd
Brandon, FL 33511-4704

Phone

(813) 793-7976

Fax

(813) 574-6139

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• Sage Dental of Brandon 2 PLLC

  • Dentist
  • Brandon, FL
  • NPI 1588309165
  NPD

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1265411953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 TUGHILL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244878",
            "telephone_number": "813-416-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114704",
            "telephone_number": "813-793-7976",
            "fax_number": "813-574-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOS PASSOS",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073589200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Doran
• Desiree Dorbad, LMT
• Eric Robert Dorfman, MD
• Sandra Dorsey, M.D.
• Kesnearsha Dorvilier
• Doses by Danzi L.L.C.
• Carissa Dosio-Gibbs
• Whitney Doub, CCC-SLP
• Douglas C Wendt, Jr., D.D.S.
• Douglas Scott Stafford, D.M.D., P.a. (Stafford Dentistry)

• General Practice Dentistry in Brandon, FL
• Providers in Brandon, 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 Oct 13, 2023; 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.