Active NPI
Joanna Magazine
- Dentist
- Pinellas Park, FL
National Provider Identifier
1437346376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17816
- Practice address
- 5002 73Rd Ave N
Apple Dental Affiliates PA
Pinellas Park, FL 33781 - Phone
- (727) 544-7733
- Fax
- (727) 544-3150
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN17816 | FL | Primary |
Addresses
Primary practice location
5002 73Rd Ave N
Apple Dental Affiliates PA
Pinellas Park, FL 33781
Mailing address
300 E Long Lake
Ste 311 Crest Expressions Dental Centers
Bloomfield Hills, MI 48304
Phone (248) 203-1119
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121001634 | FL | Order and Referring Only - Oral Surgery | 3779886957 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17816 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1437346376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E LONG LAKE",
"address_2": "STE 311 CREST EXPRESSIONS DENTAL CENTERS",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48304",
"telephone_number": "248-203-1119",
"fax_number": "248-723-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 73RD AVE N",
"address_2": "APPLE DENTAL AFFILIATES PA",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "33781",
"telephone_number": "727-544-7733",
"fax_number": "727-544-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGAZINE",
"first_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.