Greg Goran Stoici

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18797 Issued in FL

Practice address

2715 W Bay Dr
Belleair Bluffs, FL 33770-2617

Phone

(727) 683-0400

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1639209950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 UNIVERSITY MEWS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044756",
            "telephone_number": "267-342-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W BAY DR",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702617",
            "telephone_number": "727-683-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 south dale marby",
            "address_2": "suite c ,south tampa coast dental",
            "address_purpose": "LOCATION",
            "city": "tampa",
            "state": "FL",
            "postal_code": "336290000",
            "country_code": "US",
            "telephone_number": "813-289-7549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOICI",
        "first_name": "GREG",
        "middle_name": "GORAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 18797",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Fady, D.C., P.a.
• Theodore Salim
• Adeline Schaffer, NP
• Christopher Schott, PHARMD
• David Simon, L.AC., AP
• Thomas Joseph Sultenfuss, M.D.
• Kathleen Ann Tallmadge
• Melissa Lynn Taylor
• Alysia Thompson, PHARMD
• TLC Transportations Inc

• General Practice Dentistry in Belleair Bluffs, FL
• Providers in Belleair Bluffs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.