Active NPI
Christina Lynn Regan, DMD
- General Practice Dentistry
- Odessa, FL
National Provider Identifier
1316438120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23658
- Practice address
- 13254 State Road 54
Odessa, FL 33556-3483 - Phone
- (813) 448-6885
- Fax
- (813) 448-6886
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857952 | MA | |
| Dentist | 122300000X | DN23658 | FL | |
| General Practice Dentistry | 1223G0001X | DN23658 | FL | Primary |
Addresses
Primary practice location
13254 State Road 54
Odessa, FL 33556-3483
Mailing address
13254 State Road 54
Odessa, FL 33556-3483
Phone (813) 448-6885
Other names 1
- Christina Lynn Lepochat
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857952 | MA | MD | Dentist |
| DN23658 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RR Dentistry Trinity, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Spring Haven Dental
- General Practice Dentistry
- Odessa, FL
- NPI 1801740162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1316438120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13254 STATE ROAD 54",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563483",
"telephone_number": "813-448-6885",
"fax_number": "813-448-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13254 STATE ROAD 54",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563483",
"telephone_number": "813-448-6885",
"fax_number": "813-448-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "CHRISTINA",
"middle_name": "LYNN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857952",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN23658",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "LEPOCHAT",
"middle_name": "LYNN",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.