Individual provider Active NPI

Amanda Leone Cobb, DMD

  • Dentist
  • Big Pine Key, FL
National Provider Identifier
1265870919
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20119 Issued in FL
Practice address
29872 Overseas Hwy
Big Pine Key, FL 33043-3313
Phone
(305) 872-4272
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20119 FL Primary

Addresses

Primary practice location

29872 Overseas Hwy
Big Pine Key, FL 33043-3313

Mailing address

785 W Granada Blvd
Suite 3
Ormond Beach, FL 32174-9522
Phone (386) 672-6581

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160322002639 FL Order and Referring Only - DentistPractitioner - Dentist 8729385554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Sleep Center Inc CurrentSince Dec 11, 2024 Accepting new patients
Dream Sleep Center Inc Dentist CurrentSince Sep 24, 2023 Accepting new patients

Locations

29872 Overseas Hwy
Big Pine Key, FL 33043
Phone (305) 393-8251

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1265870919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 W GRANADA BLVD",
            "address_2": "SUITE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749522",
            "telephone_number": "386-672-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29872 OVERSEAS HWY",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "330433313",
            "telephone_number": "305-872-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "AMANDA",
        "middle_name": "LEONE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Pine Key, FL

Sources for this page

Verify at the official NPI Registry.