Individual provider Active NPI

Nancy Patricia Dalos, MD

  • Neurology Physician
  • St Petersburg, FL
National Provider Identifier
1427031855
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME51175 Issued in FL
Practice address
1201 5TH Avenue North
Suite 202
St Petersburg, FL 33705-1410
Phone
(727) 820-7701
Fax
(727) 820-7700
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME51175 FL Primary

Addresses

Primary practice location

1201 5TH Avenue North
Suite 202
St Petersburg, FL 33705-1410

Mailing address

PO Box 1829
Clearwater, FL 33757-1829
Phone (727) 532-0002

Other identifiers 2

IdentifierTypeStateIssuer
046774000MedicaidFL
P00699967OtherFLRAILROAD MEDICARE PROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME51175FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Anthony'S Specialists LLC 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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1427031855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1829",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337571829",
            "telephone_number": "727-532-0002",
            "fax_number": "727-532-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVENUE NORTH",
            "address_2": "SUITE 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051410",
            "telephone_number": "727-820-7701",
            "fax_number": "727-820-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALOS",
        "first_name": "NANCY",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME51175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046774000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00699967",
            "state": "FL"
        }
    ],
    "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 Mar 27, 2012; 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.