Active NPI
Fanny Elizabeth Rovira, D.D.S.
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1376856609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12953
- Practice address
- 4333 W Bay to Bay Blvd
Tampa, FL 33629-6606 - Phone
- (813) 837-5147
- NPI assigned
- Jul 15, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12953 | FL | Primary |
Addresses
Primary practice location
4333 W Bay to Bay Blvd
Tampa, FL 33629-6606
Mailing address
750 13TH Ave N
St Petersburg, FL 33701-1014
Phone (727) 687-4949
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 |
|---|---|---|---|
| 12953 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1376856609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 13TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337011014",
"telephone_number": "727-687-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 W BAY TO BAY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336296606",
"telephone_number": "813-837-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROVIRA",
"first_name": "FANNY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "12953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.