Lady Joedeline Rae Patalinghug, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23447 Issued in FL

Practice address

302 W Fletcher Ave
Tampa, FL 33612-3415

Phone

(813) 397-5300

Fax

(813) 549-7855

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lady Joedeline Rae Nepomuceno Former name

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

Practice roles

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.

• Faculty Associates, Inc

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1770537953
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1700232535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "808-725-7963",
            "fax_number": "813-866-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123415",
            "telephone_number": "813-397-5300",
            "fax_number": "813-549-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALINGHUG",
        "first_name": "LADY JOEDELINE RAE",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "1514",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADY JOEDELINE RAE",
            "last_name": "NEPOMUCENO",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Passport Health of Tampa Bay
• Felicia Nicole Pastore, SLP
• Jonathan Rafael Pastrana del Valle, MD
• Jessica M Pastuf, MS, RD, CSSD
• Aryaa Vishwajeet Patade, PT
• Ulysses Patalinghug, DMD
• Michael Patch, M.D.
• Jennifer Michelle Patchen, PA-C
• Chloe Patchin
• Grace Sakamma Patchin, BT

• 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 12, 2023; 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.