Organization Active NPI

Elizabeth Staves, D.D.S.

  • Dental Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1366849705
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN13943 Issued in FL
Legal business name
ELIZABETH STAVES, D.D.S.
Practice address
5310 4TH St N
St Petersburg, FL 33703-2916
Phone
(727) 526-5900
Fax
(727) 526-5944
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Elizabeth Jeanne Staves, D.D.S., P.A.NPI 1053603894
Title
Dentist
Phone
(727) 526-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN13943 FL Primary

Addresses

Primary practice location

5310 4TH St N
St Petersburg, FL 33703-2916

Mailing address

5310 4TH St N
St Petersburg, FL 33703-2916
Phone (727) 526-5900

National Provider Directory

National Provider Directory

Locations

5310 4th St N
St Petersburg, FL 33703
Phone (727) 526-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1366849705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032916",
            "telephone_number": "727-526-5900",
            "fax_number": "727-526-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032916",
            "telephone_number": "727-526-5900",
            "fax_number": "727-526-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH STAVES, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "STAVES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "727-526-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN13943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

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