Active NPI
Anthony Michael Pikos, DMD
- Dentist
- Palm Harbor, FL
National Provider Identifier
1659883759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23085
- Practice address
- 2711 Tampa Rd
Palm Harbor, FL 34684-3312 - Phone
- (727) 786-1631
- Fax
- (727) 785-8477
- NPI assigned
- Oct 30, 2017
- Last updated
- Sep 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6470 | AL | |
| Dentist | 122300000X | 23085 | FL | Primary |
| Periodontics | 1223P0300X | DN23085 | FL |
Addresses
Primary practice location
2711 Tampa Rd
Palm Harbor, FL 34684-3312
Mailing address
1505 Misty Plateau TRL
Clearwater, FL 33765-1871
Phone (727) 420-5291
Other practice location 1
1919 7th Ave S
Birmingham, AL 35233-2005
Phone (205) 934-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2021 through Feb 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6470 | AL | MD | Dentist |
| 23085 | FL | MD | Dentist |
| DN23085 | FL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1659883759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 MISTY PLATEAU TRL",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651871",
"telephone_number": "727-420-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 TAMPA RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843312",
"telephone_number": "727-786-1631",
"fax_number": "727-785-8477"
}
],
"practiceLocations": [
{
"address_1": "1919 7th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352332005",
"country_code": "US",
"telephone_number": "205-934-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIKOS",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-30",
"last_updated": "2020-09-08",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6470",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "23085",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN23085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.