Richa Mahatme, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN26334 Issued in FL

Practice address

19721 State Road 54
Lutz, FL 33558-7807

Phone

(813) 435-3462

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1356015481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 49TH ST N APT 2-214",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825288",
            "telephone_number": "551-497-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19721 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335587807",
            "telephone_number": "813-435-3462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Main St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060331092",
            "country_code": "US",
            "telephone_number": "860-657-9212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11701 Belcher Rd S Ste 103",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337735116",
            "country_code": "US",
            "telephone_number": "727-288-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHATME",
        "first_name": "RICHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13211",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Faddy A Makaryus, DMD
• Kevin J. Makati, MD

• Dentist in Lutz, FL
• Providers in Lutz, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.