NPIMap

Organization Active NPI

Aesthetic Dentistry of New Tampa

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1710099353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14694 Issued in FL
Legal business name
AESTHETIC DENTISTRY OF NEW TAMPA
Practice address
8709 Hunters Green Dr
Suite 102
Tampa, FL 33647-2309
Phone
(813) 991-1088
Fax
(813) 991-4817
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fardin Zare, DDSNPI 1467564088
Title
Owner
Phone
(813) 991-1088

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN14694 FL Primary

Addresses

Primary practice location

8709 Hunters Green Dr
Suite 102
Tampa, FL 33647-2309

Mailing address

8709 Hunters Green Dr
Suite 102
Tampa, FL 33647-2309
Phone (813) 991-1088

National Provider Directory

National Provider Directory

Locations

8709 Hunters Green Dr
Ste 102
Tampa, FL 33647
Phone (813) 991-1088

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710099353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 HUNTERS GREEN DR",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472309",
            "telephone_number": "813-991-1088",
            "fax_number": "813-991-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 HUNTERS GREEN DR",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472309",
            "telephone_number": "813-991-1088",
            "fax_number": "813-991-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY OF NEW TAMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZARE",
        "authorized_official_first_name": "FARDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-991-1088",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.