Individual provider Active NPI

Dang Vinh Ha, DMD

  • General Practice Dentistry
  • Land O Lakes, FL
National Provider Identifier
1538245113
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17271 Issued in FL
Practice address
2091 Collier Pkwy
Land O Lakes, FL 34639-5202
Phone
(813) 948-6290
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17271 FL Primary
General Practice Dentistry 1223G0001X DN17953 FL

Addresses

Primary practice location

2091 Collier Pkwy
Land O Lakes, FL 34639-5202

Mailing address

8416 Sheldon Rd
Tampa, FL 33615-1606
Phone (813) 454-9091

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316001568 FL Order and Referring Only - DentistPractitioner - Dentist 2062718067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17953FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tampasedation&Familydentistry 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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1538245113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151606",
            "telephone_number": "813-454-9091",
            "fax_number": "813-443-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395202",
            "telephone_number": "813-948-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "DANG",
        "middle_name": "VINH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17271",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.