Individual provider Active NPI

Amanda N. Del Cueto, DMD

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1487036737
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21346 Issued in FL
Practice address
3500 E Fletcher Ave Ste 221
Tampa, FL 33613-4712
Phone
(813) 734-7102
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21346 FL
General Practice Dentistry 1223G0001X DN 21346 FL Primary

Addresses

Primary practice location

3500 E Fletcher Ave Ste 221
Tampa, FL 33613-4712

Mailing address

3500 E Fletcher Ave Ste 221
Tampa, FL 33613-4712
Phone (813) 972-3500

Other names 1

  • Amanda Del Cueto Dillinger Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716003162 FL Order and Referring Only - DentistPractitioner - Dentist 1153634365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21346FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1487036737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE STE 221",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134712",
            "telephone_number": "813-972-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE STE 221",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134712",
            "telephone_number": "813-734-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CUETO",
        "first_name": "AMANDA",
        "middle_name": "N.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21346",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DILLINGER",
            "middle_name": "DEL CUETO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.