Individual provider Active NPI

Rebecca Harrison Pikos, D.M.D.

  • Pediatric Dentistry
  • Saint Petersburg, FL
National Provider Identifier
1497136253
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24742 Issued in FL
Practice address
11201 Corporate Cir N Ste 160
Saint Petersburg, FL 33716-3701
Phone
(727) 577-4911
Fax
(727) 577-4912
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 24742 FL Primary

Addresses

Primary practice location

11201 Corporate Cir N Ste 160
Saint Petersburg, FL 33716-3701

Mailing address

11201 Corporate Cir N
Saint Petersburg, FL 33716-3701
Phone (727) 577-4911

Other names 1

  • Dr. Rebecca Anne Harrison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24742FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassetta Pediatric Dentistry, LLC Pediatric Dentistry Past Accepting new patients
Pediatric Dental Associates of Cullman, LLC Past Accepting new patients

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1497136253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 CORPORATE CIR N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163701",
            "telephone_number": "727-577-4911",
            "fax_number": "727-577-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 CORPORATE CIR N STE 160",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163701",
            "telephone_number": "727-577-4911",
            "fax_number": "727-577-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKOS",
        "first_name": "REBECCA",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "24742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HARRISON",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.