Malissa Vacharakiat, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN16468 Issued in FL

Practice address

6526 Gunn Hwy
Tampa, FL 33625-4022

Phone

(813) 374-2290

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Citrus Park Endodontics, PA

  • Dental Clinic/Center
  • Tampa, FL
  • NPI 1134230196
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451606400000",
    "number": "1609959873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S FREMONT AVE APT 433",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336064300",
            "telephone_number": "210-391-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254022",
            "telephone_number": "813-374-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHARAKIAT",
        "first_name": "MALISSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16468",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "21729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Vacca
• Alicia Vaccaro
• Ann T Vaccaro
• Lisa Marie Vaccaro, DO
• Sherry Vaccaro
• Michael Vacher, D.D.S., P.A.
• Ashok Vachhani
• Jenna Vachon, APRN, MSN, CRNA
• Anita Vadaken, DPT
• Vagisha Vadhel, PT,MPT

• Endodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2016; 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.