Active NPI
Savannah Misiewicz, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1619864360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30554
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30554 | FL | MD | Dentist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Dentist | Current | Accepting new patients |
| Coast Florida P.a. | Dentist | Past | 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.
-
- Dentist
- Tampa, FL
- NPI 1962078378
-
- Dentist
- Tampa, FL
- NPI 1730287673
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.