Individual provider Active NPI

Ioana Amna Mihaela Stoici, DMD

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1487987988
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18891 Issued in FL
Practice address
205 Martin Luther King Dr N
St Petersburg, FL 33701-3109
Phone
(267) 575-7695
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037482 PA
Dentist 122300000X DN18891 FL Primary

Addresses

Primary practice location

205 Martin Luther King Dr N
St Petersburg, FL 33701-3109

Mailing address

714 Monterey Blvd NE
St Petersburg, FL 33704-3638
Phone (267) 575-7695

Other practice location 1

6882 Gulfport Blvd S
South Pasadena, FL 33707-2108
Phone (727) 384-9655

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
I20190325002835 FL Order and Referring Only - DentistPractitioner - Dentist 9133469372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18891FLMDDentist
DS037482PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist Past Accepting new patients
Coast Florida P.a. Dentist PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1487987988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MONTEREY BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043638",
            "telephone_number": "267-575-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARTIN LUTHER KING DR N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013109",
            "telephone_number": "267-575-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6882 Gulfport Blvd S",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "FL",
            "postal_code": "337072108",
            "country_code": "US",
            "telephone_number": "727-384-9655",
            "fax_number": "727-384-9855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOICI",
        "first_name": "IOANA",
        "middle_name": "AMNA MIHAELA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037482",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.