Active NPI
Nancy Patricia Dalos, MD
- Neurology Physician
- St Petersburg, FL
National Provider Identifier
1427031855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME51175
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046774000 | Medicaid | FL | |
| P00699967 | Other | FL | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME51175 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Surgery Physician
- Clearwater, FL
- NPI 1932143385
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.