Sara Alexandra Maltese, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN23157 Issued in FL

Practice address

871 Ibis Walk PL N Unit 7201
St Petersburg, FL 33716

Phone

(941) 258-4191

NPI assigned

Apr 18, 2017

Last updated

Aug 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Office of Dunedin, Inc

  • General Practice Dentistry
  • Dunedin, FL
  • NPI 1144796293

  Single Specialty

  NPD (past)
• Dental Office of Tampa LLC

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1770309726
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1316471113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELCHER RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985680",
            "telephone_number": "727-738-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 IBIS WALK PL N UNIT 7201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33716",
            "telephone_number": "941-258-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTESE",
        "first_name": "SARA",
        "middle_name": "ALEXANDRA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Malone, DO
• Dejon Maloney, M.D
• Timi Donn Maloney, MD
• Alexander Nicholas Maltese, MD, MPH
• Joseph Matthew Maltese, D.C.
• Maltezos Wellness Psychiatry LLC
• Lily Maltezos, PMHNP
• Justin Mandel, L.AC
• Steven Mark Mandel, M.D.
• Deja Mandy, APRN

• Dentist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.