Individual provider Active NPI

Michael Dipace, DDS

  • Periodontics
  • Tampa, FL
National Provider Identifier
1518067529
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN29837 Issued in FL
Practice address
520 N Falkenburg Rd
Tampa, FL 33619-7884
Phone
(617) 240-6722
NPI assigned
Sep 22, 2006
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN29837 FL Primary

Addresses

Primary practice location

520 N Falkenburg Rd
Tampa, FL 33619-7884

Mailing address

205 W Hyde Park PL Apt 217
Tampa, FL 33606-2358
Phone (617) 240-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150610001739 MA Order and Referring Only - DentistPractitioner - Dentist 7113248576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN29837FLMDPeriodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1518067529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W HYDE PARK PL APT 217",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062358",
            "telephone_number": "617-240-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N FALKENBURG RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197884",
            "telephone_number": "617-240-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPACE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN29837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.