Odessa Biandudi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19709 Issued in FL

Practice address

825 West Martin Luther King Boulevard
Tampa, FL 33603

Phone

(813) 237-1982

NPI assigned

Jun 15, 2012

Sex

Female

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1679835599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 E LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WEST MARTIN LUTHER KING BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-237-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANDUDI",
        "first_name": "ODESSA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Fogle Bianchet, LMT
• Deborah C. Bianchi, LMFT
• Michelle Bianchi
• Christopher Robert Bianco, P.A.
• Sidney Marie Bianco, APRN
• Sara Bibi, M.D
• Bich-Ngoc T. Pham, MD, LLC
• Fatima Bichoutar
• Jennifer Lynn Bickel, M.D.
• Clint Christian Bickerstaff, BA

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, 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 Jun 15, 2012; 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.