Active NPI
Joshua A Wyatt, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1497982912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18714
- Practice address
- 3308 S Dale Mabry Hwy
Tampa, FL 33629-7818 - Phone
- (813) 835-0090
- NPI assigned
- Jun 11, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN18714 | FL | |
| Dentist | 122300000X | DN18714 | FL | Primary |
Addresses
Primary practice location
3308 S Dale Mabry Hwy
Tampa, FL 33629-7818
Mailing address
3308 S Dale Mabry Hwy
Tampa, FL 33629-7818
Phone (813) 835-0090
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN18714 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfortable Care Dental Health Professionals, P.a. | General Practice | Current | Accepting new patients |
| Wyatt Dental Associates | Dentist | Past | Accepting new patients |
Locations
3308 S Dale Mabry Hwy
Tampa, FL 33629
Phone (813) 830-0090
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
- Tampa, FL
- NPI 1881022614
-
- General Practice Dentistry
- Tampa, FL
- NPI 1649145582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1497982912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 S DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297818",
"telephone_number": "813-835-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 S DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297818",
"telephone_number": "813-835-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "JOSHUA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18714",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.