Active NPI
Cody Chase, DDS
- Dentist
- Largo, FL
National Provider Identifier
1326539164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23337
- Practice address
- 13200 Seminole Blvd Ste 204
Largo, FL 33778-2132 - Phone
- (410) 318-9339
- NPI assigned
- May 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23337 | FL | Primary |
Addresses
Primary practice location
13200 Seminole Blvd Ste 204
Largo, FL 33778-2132
Mailing address
1 Beach Dr SE Unit 1402
St Petersburg, FL 33701-3925
Phone (410) 318-9339
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 |
|---|---|---|---|
| 23337 | FL | MD | Occupational Therapist |
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": "1527552000000",
"number": "1326539164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BEACH DR SE UNIT 1402",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013925",
"telephone_number": "410-318-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 SEMINOLE BLVD STE 204",
"city": "LARGO",
"state": "FL",
"postal_code": "337782132",
"telephone_number": "410-318-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "CODY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "23337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 29, 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.