Individual provider Active NPI

Dana Nicole Delosa, DMD

  • Dentist
  • Spring Hill, FL
National Provider Identifier
1285127084
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23367 Issued in FL
Practice address
11119 Hearth Rd
Spring Hill, FL 34608-3727
Phone
(352) 683-2283
NPI assigned
Jun 7, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23367 FL Primary

Addresses

Primary practice location

11119 Hearth Rd
Spring Hill, FL 34608-3727

Mailing address

8196 Via Di Veneto
Boca Raton, FL 33496-1974
Phone (954) 304-3883

Other practice location 1

10427 Ulmerton Rd Ste B-3
Largo, FL 33771-3530
Phone (727) 535-9993

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
I20180731001370 FL Order and Referring Only - DentistPractitioner - Dentist 3375891864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23367FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist PastSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. Dentist Past Accepting new patients
Comfortable Care Dental Health Professionals, PA Dentist Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1285127084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 VIA DI VENETO",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961974",
            "telephone_number": "954-304-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 HEARTH RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083727",
            "telephone_number": "352-683-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10427 Ulmerton Rd Ste B-3",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337713530",
            "country_code": "US",
            "telephone_number": "727-535-9993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOSA",
        "first_name": "DANA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.