Karen F Pettit, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN24008 Issued in FL

Practice address

6020 FL-70 Unit 101
Bradenton, FL 34203-4377

Phone

(813) 889-0780

NPI assigned

May 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1285123414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14713 HERONGLEN DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473868",
            "telephone_number": "520-366-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 FL-70 UNIT 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034377",
            "telephone_number": "813-889-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "KAREN",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24008",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN24008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Peters, LAT, ATC
• Richard James Peterson, MD
• Sydney Paige Peterson, MD
• Albert Thaddeus Petrosino, M.D.
• Bridget Pettigrew, RN
• Anthony Peverini, CRNA
• Catherine L Pezzella, APRN, FNP-C
• John Andrew Pfeilsticker, M.D.
• Duc Nam Pham
• Trish Pham, PHARM.D.

• Pediatric Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.