Ricardo Sanpedro, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9718 Issued in FL

Practice address

19115 Crooked LN
Lutz, FL 33548-4413

Phone

(813) 349-8456

Fax

(813) 425-0098

NPI assigned

Mar 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1639478142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 CROOKED LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484413",
            "telephone_number": "813-349-8456",
            "fax_number": "813-425-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 CROOKED LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484413",
            "telephone_number": "813-349-8456",
            "fax_number": "813-425-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANPEDRO",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha S. Lindsay M.D. P.a.
• Nicole Sampson
• Sandhill Pediatrics, P.a.
• Sandhill Speech and Language Services, LLC
• Daphnne Sanjur, RBT
• Rose Marie Santos, OTR/L
• Avtar Singh Saran, M.D.
• Denise N Sarco-Stipe, MS, CCC-SLP
• Monica Sarduy Mola
• Patience Sarfehjoo, COTA/L

• General Practice Dentistry in Lutz, FL
• Providers in Lutz, 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 Jan 21, 2013; 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.