Individual provider Active NPI

Ana Monzin, DMD

  • Dentist
  • Sarasota, FL
National Provider Identifier
1568814796
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22034 Issued in FL
Practice address
3315 University Pkwy Unit 103
Sarasota, FL 34243-4240
Phone
(941) 822-8165
Fax
(941) 822-8257
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22034 FL Primary

Addresses

Primary practice location

3315 University Pkwy Unit 103
Sarasota, FL 34243-4240

Mailing address

3315 University Pkwy Unit 103
Sarasota, FL 34243-4240
Phone (941) 822-8165

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
I20170504002448 FL Order and Referring Only - DentistPractitioner - Dentist 1951688696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22034FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Family Dental Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1568814796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 UNIVERSITY PKWY UNIT 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434240",
            "telephone_number": "941-822-8165",
            "fax_number": "941-822-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 UNIVERSITY PKWY UNIT 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434240",
            "telephone_number": "941-822-8165",
            "fax_number": "941-822-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZIN",
        "first_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.