Active NPI
Ioana Amna Mihaela Stoici, DMD
- Dentist
- St Petersburg, FL
National Provider Identifier
1487987988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18891
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190325002835 | FL | Order and Referring Only - Dentist | 9133469372 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18891 | FL | MD | Dentist |
| DS037482 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Dentist | Past | Accepting new patients |
| Coast Florida P.a. | Dentist | Past | 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.
-
- Dentist
- South Pasadena, FL
- NPI 1295301513
-
- Dentist
- Tampa, FL
- NPI 1730287673
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.