Individual provider Active NPI

Amy Lynn Vespa, DDS

  • Dentist
  • Largo, FL
National Provider Identifier
1285887562
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18889 Issued in FL
Practice address
120 1St Ave SW
Largo, FL 33770-3602
Phone
(727) 518-8349
Fax
(727) 518-8339
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15940 MO
General Practice Dentistry 1223G0001X 60586 KS
Dentist 122300000X 18889 FL Primary

Addresses

Primary practice location

120 1St Ave SW
Largo, FL 33770-3602

Mailing address

120 1St Ave SW
Largo, FL 33770-3602
Phone (727) 518-8349

Other names 1

  • Ms. Amy Lynn Rynard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60586KSMDGeneral Practice Dentistry
15940MOMDGeneral Practice Dentistry
18889FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vespa Family Dental Dentist Past Accepting new patients
Vespa Family Dental PA General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1285887562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703602",
            "telephone_number": "727-518-8349",
            "fax_number": "727-518-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703602",
            "telephone_number": "727-518-8349",
            "fax_number": "727-518-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESPA",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15940",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60586",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "18889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RYNARD",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.