John Mathew Cannariato, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15380 Issued in FL

Practice address

4066 Henderson Blvd
Tampa, FL 33629-4940

Phone

(813) 289-0560

Fax

(813) 286-9600

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699803718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33629",
            "telephone_number": "813-289-0560",
            "fax_number": "813-286-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294940",
            "telephone_number": "813-289-0560",
            "fax_number": "813-286-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNARIATO",
        "first_name": "JOHN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rufelinda Canent, RPH,CPH
• Deanna Marie Canfield
• Danais Canizares Arostiguy
• Isabel P Canizares
• Janirys Canizares, BSW
• Amy Littleton Cannella
• Lisa Lynett Cannella, CRNA
• Xavier Francis Cannella, MD
• Aileen Carol Cannon, M.D.
• Erin Marie Cannon, DPT

• 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 Jul 8, 2007; 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.