Organization Active NPI

Amy Fine Anderson DMD PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Petersburg, FL
National Provider Identifier
1669652772
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN14252 Issued in FL
Legal business name
AMY FINE ANDERSON DMD PA
Practice address
6601 9TH Ave NE
St Petersburg, FL 33710
Phone
(727) 381-1240
Fax
(727) 381-1240
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Amy Fine Anderson, DMDNPI 1225557713
Title
Orthodontist President
Phone
(727) 381-1240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN14252 FL Primary

Addresses

Primary practice location

6601 9TH Ave NE
St Petersburg, FL 33710

Mailing address

6601 9TH Ave NE
St Petersburg, FL 33710
Phone (727) 381-1240

National Provider Directory

National Provider Directory

Locations

6601 9th Ave N
St Petersburg, FL 33710
Phone (727) 381-1240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1669652772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 9TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-381-1240",
            "fax_number": "727-381-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 9TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-381-1240",
            "fax_number": "727-381-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY FINE ANDERSON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "FINE",
        "authorized_official_title_or_position": "ORTHODONTIST PRESIDENT",
        "authorized_official_telephone_number": "727-381-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN14252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.