Individual provider Active NPI

Johella Liguori, DMD

  • Dentist
  • Tampa, FL
National Provider Identifier
1285066902
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20328 Issued in FL
Practice address
5200 N Armenia Ave
Tampa, FL 33603-1408
Phone
(813) 354-9424
Fax
(813) 849-0211
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20328 FL Primary

Addresses

Primary practice location

5200 N Armenia Ave
Tampa, FL 33603-1408

Mailing address

5200 N Armenia Ave
Tampa, FL 33603-1408
Phone (813) 354-9424

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
I20150714003204 FL Order and Referring Only - DentistPractitioner - Dentist 0941513394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20328FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1285066902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031408",
            "telephone_number": "813-354-9424",
            "fax_number": "813-849-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031408",
            "telephone_number": "813-354-9424",
            "fax_number": "813-849-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGUORI",
        "first_name": "JOHELLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.