Individual provider Active NPI

Ernesto Valiente, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
National Provider Identifier
1487768792
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15074 Issued in FL
Practice address
6515 Gunn Hwy
Tampa, FL 33625-4021
Phone
(813) 968-5400
Fax
(813) 968-4433
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 15074 FL Primary

Addresses

Primary practice location

6515 Gunn Hwy
Tampa, FL 33625-4021

Mailing address

6515 Gunn Hwy
Tampa, FL 33625-4021
Phone (813) 968-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 28, 2019 through Jan 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15074FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Codims of Tampa Bay LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1487768792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-968-5400",
            "fax_number": "813-968-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-968-5400",
            "fax_number": "813-968-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIENTE",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "15074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.