Individual provider Active NPI

Carolina Ospina, DMD

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1467853085
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20909 Issued in FL
Practice address
6747 Tyrone SQ
St Petersburg, FL 33710-3934
Phone
(727) 345-6100
Fax
(727) 345-0793
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20909 FL Primary

Addresses

Primary practice location

6747 Tyrone SQ
St Petersburg, FL 33710-3934

Mailing address

6747 Tyrone SQ
St Petersburg, FL 33710-3934
Phone (727) 345-6100

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
DN20909FLMDDentist

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1467853085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 TYRONE SQ",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103934",
            "telephone_number": "727-345-6100",
            "fax_number": "727-345-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6747 TYRONE SQ",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103934",
            "telephone_number": "727-345-6100",
            "fax_number": "727-345-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSPINA",
        "first_name": "CAROLINA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20909",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2019; 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.