Proactive Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROACTIVE DENTAL LLC

Practice address

11017 N Dale Mabry Hwy Ste a
Tampa, FL 33618-3873

Phone

(813) 968-7228

Fax

(813) 960-3009

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Maitry Patel, DMDNPI 1538659172

Title

Owner

Phone

(813) 968-7228

Specialties & licenses 1

Addresses

Other names 1

• A CARING DENTIST Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maitry Darpan Patel, DMD

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1538659172
  NPD Authorized official
• Bhupinder Kumar Parasher, D.D.S.

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1073678397
  NPD (past)

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1275239105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 N DALE MABRY HWY STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183873",
            "telephone_number": "813-968-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11017 N DALE MABRY HWY STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183873",
            "telephone_number": "813-968-7228",
            "fax_number": "813-960-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-968-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A CARING DENTIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pro Health, Inc
• Jose Miguel Pro Landazuri, MD
• Pro Medical & Rehabilitation Center Inc
• Pro-Active Physical Therapy, Inc.
• Pro-Tech Mobility LLC
• Proactive Medical Diagnostics
• Proactive Rehab,LLC
• Proactive Solutions Therapy, LLC
• John Christian Probst
• Procare Talent Network, Inc

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, 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 Feb 2, 2023; 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.