Active NPI
William Nicholas Pantazes, DMD
- General Practice Dentistry
- Largo, FL
National Provider Identifier
1720008097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12456
- Practice address
- 12662 Indian Rocks Rd
Largo, FL 33774-2301 - Phone
- (727) 595-2951
- Fax
- (727) 595-6854
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12456 | FL | Primary |
Addresses
Primary practice location
12662 Indian Rocks Rd
Largo, FL 33774-2301
Mailing address
12662 Indian Rocks Rd
Largo, FL 33774-2301
Phone (727) 595-2951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12456 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720008097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12662 INDIAN ROCKS RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337742301",
"telephone_number": "727-595-2951",
"fax_number": "727-595-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12662 INDIAN ROCKS RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337742301",
"telephone_number": "727-595-2951",
"fax_number": "727-595-6854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTAZES",
"first_name": "WILLIAM",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "12456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.