Individual provider Active NPI

Savannah Misiewicz, DMD

  • Dentist
  • Tampa, FL
National Provider Identifier
1619864360
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30554 Issued in FL
Practice address
13584 University Plaza St
Tampa, FL 33613-4628
Phone
(813) 971-8141
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30554 FL Primary

Addresses

Primary practice location

13584 University Plaza St
Tampa, FL 33613-4628

Mailing address

1115 E Twiggs St Unit 1213
Tampa, FL 33602-3180
Phone (304) 283-2474

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
30554FLMDDentist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist CurrentSince Jun 29, 2025 Accepting new patients
Coast Florida P.a. Dentist PastSince Jun 29, 2025 Accepting new patients

Locations

13584 University Plaza St
Tampa, FL 33613
Phone (813) 971-8141

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1619864360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E TWIGGS ST UNIT 1213",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023180",
            "telephone_number": "304-283-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13584 UNIVERSITY PLAZA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134628",
            "telephone_number": "813-971-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIEWICZ",
        "first_name": "SAVANNAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "30554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.