Individual provider Active NPI

Maria Antonia Upshaw, D.M.D.

  • Dentist
  • Tampa, FL
National Provider Identifier
1386866267
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15396 Issued in FL
Practice address
201 E Kennedy Blvd
Suite 1425
Tampa, FL 33602-5181
Phone
(813) 229-8090
Fax
(813) 224-0009
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15396 FL Primary

Addresses

Primary practice location

201 E Kennedy Blvd
Suite 1425
Tampa, FL 33602-5181

Mailing address

201 E Kennedy Blvd
Ste 1425
Tampa, FL 33602-5864
Phone (813) 229-8090

Other names 1

  • Maria Antonia Egui Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614002335 FL Order and Referring Only - DentistPractitioner - Dentist 4385935865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrara Dental PLLC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1386866267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E KENNEDY BLVD",
            "address_2": "STE 1425",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025864",
            "telephone_number": "813-229-8090",
            "fax_number": "813-229-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E KENNEDY BLVD",
            "address_2": "SUITE 1425",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025181",
            "telephone_number": "813-229-8090",
            "fax_number": "813-224-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW",
        "first_name": "MARIA",
        "middle_name": "ANTONIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "EGUI",
            "middle_name": "ANTONIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.