Individual provider Active NPI

Nora Nakshabendi, DMD

  • Pediatric Dentistry
  • Tampa, FL
National Provider Identifier
1386003879
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN27562 Issued in FL
Practice address
10317 Cross Creek Blvd Ste B
Tampa, FL 33647-2845
Phone
(813) 363-3555
NPI assigned
Feb 12, 2016
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN1857285 MA
Pediatric Dentistry 1223P0221X DN27562 FL Primary

Addresses

Primary practice location

10317 Cross Creek Blvd Ste B
Tampa, FL 33647-2845

Mailing address

5041 Wesley Dr
Tampa, FL 33647-1376
Phone (813) 363-3555

Other practice location 1

182 Main St
Milford, MA 01757
Phone (508) 473-5437

Other practice location 2

230 Maple St Ste 4
Holyoke, MA 01040-5143
Phone (413) 420-6249

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

LicenseStateTypeSpecialty
DN27562FLMDPediatric Dentist
DN1857285MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Group, Inc Pediatric Dentistry Past Accepting new patients
Bay Area Nutrition Inc Single Specialty PastSince Jan 29, 2025 Accepting new patients
Locust White Inc Pediatric Dentistry Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1386003879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 WESLEY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471376",
            "telephone_number": "813-363-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 CROSS CREEK BLVD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472845",
            "telephone_number": "813-363-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 Main St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "01757",
            "country_code": "US",
            "telephone_number": "508-473-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Maple St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010405143",
            "country_code": "US",
            "telephone_number": "413-420-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKSHABENDI",
        "first_name": "NORA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1857285",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN27562",
            "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 May 14, 2024; 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.