Individual provider Active NPI

Sean P Pierel, DMD

  • Dentist
  • South Pasadena, FL
National Provider Identifier
1669108593
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN26926 Issued in FL
Practice address
6882 Gulfport Blvd S
South Pasadena, FL 33707-2108
Phone
(727) 384-9655
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN26926 FL Primary

Addresses

Primary practice location

6882 Gulfport Blvd S
South Pasadena, FL 33707-2108

Mailing address

48 Morgan Ave
Providence, RI 02911-1236
Phone (207) 420-6784

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
DN26926FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist CurrentSince Jul 31, 2022 Accepting new patients
Coast Florida P.a. Dentist PastSince Jul 31, 2022 Accepting new patients

Locations

6882 Gulfport Blvd S
South Pasadena, FL 33707
Phone (727) 384-9655

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.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1669108593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MORGAN AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029111236",
            "telephone_number": "207-420-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6882 GULFPORT BLVD S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072108",
            "telephone_number": "727-384-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEREL",
        "first_name": "SEAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.