Organization Active NPI

Dental Arts Ninth Street P.a.

  • General Practice Dentistry
  • St Petersburg, FL
National Provider Identifier
1285264374
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL ARTS NINTH STREET P.A.
Practice address
7451 9TH St N
St Petersburg, FL 33702-5203
Phone
(727) 522-2222
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Andrew Crouch
Title
Business Manager
Phone
(321) 872-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7451 9TH St N
St Petersburg, FL 33702-5203

Mailing address

9180 Oakhurst Rd Ste 3
Seminole, FL 33776-2161
Phone (321) 872-8820

National Provider Directory

National Provider Directory

Locations

9180 Oakhurst Rd
Ste 3
Seminole, FL 33776

7451 Martin Luther King St N
St Petersburg, FL 33702
Phone (727) 219-1512

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1285264374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 OAKHURST RD STE 3",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337762161",
            "telephone_number": "321-872-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025203",
            "telephone_number": "727-522-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS NINTH STREET P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "321-872-8820"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.