Individual provider Active NPI

Kotschai Hemat

  • Dentist
  • Tampa, FL
National Provider Identifier
1669001095
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27849 Issued in FL
Practice address
4446 E Fletcher Ave
Tampa, FL 33613-4942
Phone
(813) 797-5907
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 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 DN27849 FL Primary

Addresses

Primary practice location

4446 E Fletcher Ave
Tampa, FL 33613-4942

Mailing address

4446 E Fletcher Ave
Tampa, FL 33613-4942

Other practice location 1

13146 US 301 S
Riverview, FL 33578-7410
Phone (813) 672-9575

Other practice location 2

16415 SE 15th St Ste 105
Vancouver, WA 98683-9802
Phone (360) 953-8135

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
DN27849FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ctr Dental Northwest PastSince Jul 1, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1669001095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134942",
            "telephone_number": "813-797-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13146 US 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787410",
            "country_code": "US",
            "telephone_number": "813-672-9575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16415 SE 15th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839802",
            "country_code": "US",
            "telephone_number": "360-953-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMAT",
        "first_name": "KOTSCHAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27849",
            "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 Jan 26, 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.