Active NPI
Thomas Lynn Rockwell, DDS
- Dentist
- Tampa, FL
National Provider Identifier
1487758777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6117
- Practice address
- 13930 N Dale Mabry Hwy
Suite 4
Tampa, FL 33618-2427 - Phone
- (813) 962-2400
- Fax
- (813) 968-9320
- NPI assigned
- Sep 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6117 | FL | Primary |
Addresses
Primary practice location
13930 N Dale Mabry Hwy
Suite 4
Tampa, FL 33618-2427
Mailing address
13930 N Dale Mabry Hwy
Suite 4
Tampa, FL 33618-2427
Phone (813) 962-2400
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 |
|---|---|---|---|---|
| I20160112001315 | FL | Order and Referring Only - Dentist | 4082916713 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6117 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487758777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13930 N DALE MABRY HWY",
"address_2": "SUITE 4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182427",
"telephone_number": "813-962-2400",
"fax_number": "813-968-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13930 N DALE MABRY HWY",
"address_2": "SUITE 4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182427",
"telephone_number": "813-962-2400",
"fax_number": "813-968-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "THOMAS",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "6117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
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- Rocky River Healthcare (Carrollwood Smiles)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.