Active NPI
Suarez Cosmetic Dentistry
- Dentist
- St Petersburg, FL
National Provider Identifier
1467993501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21413
- Legal business name
- SUAREZ COSMETIC DENTISTRY
- Practice address
- 3801 Park St N
Suite 1
St Petersburg, FL 33709-4078 - Phone
- (787) 922-6873
- Fax
- (877) 257-6092
- NPI assigned
- Mar 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yoan Suarez Zayas, DMD
- Title
- Dentist
- Phone
- (787) 922-6873
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21413 | FL | Primary |
Addresses
Primary practice location
3801 Park St N
Suite 1
St Petersburg, FL 33709-4078
Mailing address
3801 Park St N
Suite 1
St Petersburg, FL 33709-4078
Phone (787) 922-6873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016295100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3801 Park St N
Ste 1
St Petersburg, FL 33709
Phone (727) 440-6488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1467993501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 PARK ST N",
"address_2": "SUITE 1",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337094078",
"telephone_number": "787-922-6873",
"fax_number": "877-257-6092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 PARK ST N",
"address_2": "SUITE 1",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337094078",
"telephone_number": "787-922-6873",
"fax_number": "877-257-6092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUAREZ COSMETIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "SUAREZ ZAYAS",
"authorized_official_first_name": "YOAN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "787-922-6873",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN21413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016295100",
"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 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.