Active NPI
Kenan Tarabishy, D.D.S.
- Dentist
- Tampa, FL
National Provider Identifier
1508102021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019028915
- Practice address
- 15237 Amberly Dr
Tampa, FL 33647-2155 - Phone
- (813) 978-3636
- NPI assigned
- Jan 2, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 694415 | WI | |
| Dentist | 122300000X | 019028915 | IL | Primary |
Addresses
Primary practice location
15237 Amberly Dr
Tampa, FL 33647-2155
Mailing address
15237 Amberly Dr
Tampa, FL 33647-2155
Phone (352) 585-7336
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 |
|---|---|---|---|
| 019028915 | IL | MD | Dentist |
| 694415 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Specialists | 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.
-
- Endodontics
- Tampa, FL
- NPI 1487248951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1508102021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15237 AMBERLY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472155",
"telephone_number": "352-585-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15237 AMBERLY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472155",
"telephone_number": "813-978-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARABISHY",
"first_name": "KENAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-02",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "694415",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019028915",
"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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.