Individual provider Active NPI

Natasa Radosavljevic, D.D.S.

  • General Practice Dentistry
  • Clearwater, FL
National Provider Identifier
1568524858
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17579 Issued in FL
Practice address
25400 US Highway 19 N
Suite #199
Clearwater, FL 33763-2149
Phone
(727) 796-2427
Fax
(727) 796-2428
NPI assigned
Dec 14, 2006
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17579 FL Primary

Addresses

Primary practice location

25400 US Highway 19 N
Suite #199
Clearwater, FL 33763-2149

Mailing address

25400 US Highway 19 N
Suite #199
Clearwater, FL 33763-2149
Phone (727) 796-2427

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
DN17579FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1568524858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 US HIGHWAY 19 N",
            "address_2": "SUITE #199",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632149",
            "telephone_number": "727-796-2427",
            "fax_number": "727-796-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 US HIGHWAY 19 N",
            "address_2": "SUITE #199",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632149",
            "telephone_number": "727-796-2427",
            "fax_number": "727-796-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSAVLJEVIC",
        "first_name": "NATASA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.