Obeck Comprehensive Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OBECK COMPREHENSIVE DENTAL

Practice address

33 Davis Blvd
Tampa, FL 33606-3427

Phone

(813) 253-5379

Fax

(813) 254-1521

NPI assigned

Apr 12, 2023

Last updated

Apr 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Obeck, DDSNPI 1053938654

Title

Owner

Phone

(813) 253-5379

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Obeck, DDS

  • Dentist
  • Tampa, FL
  • NPI 1053938654
  NPD Authorized official
• Stephen Michael Krist, DDS

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1316060635
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1588350615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DAVIS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063427",
            "telephone_number": "813-253-5379",
            "fax_number": "813-254-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DAVIS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063427",
            "telephone_number": "813-253-5379",
            "fax_number": "813-254-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBECK COMPREHENSIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "OBECK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-253-5379",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053938654",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316060635",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oasis Health Clinic
• Oasis Nurse Registry Inc
• Ghitiana Marie Oatis, RPH
• Obando Consulting LLC
• Jennifer Obando
• John M Obeck, DDS
• Laura Coral Oben Perez, MD
• Blanca Oben-Perez, SLP
• Lieselot Ober, MS, OTR/L
• Teresa Ann Oberbroeckling, PA-C

• Dental Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.