Active NPI
Steven J Ciaravino, DDS
- General Practice Dentistry
- Haines City, FL
National Provider Identifier
1720121510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13488
- Practice address
- 127 S 5TH St
Haines City, FL 33844-5253 - Phone
- (863) 422-8608
- Fax
- (863) 421-9369
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 13488 | FL | Primary |
Addresses
Primary practice location
127 S 5TH St
Haines City, FL 33844-5253
Mailing address
127 S 5TH St
Haines City, FL 33844-5253
Phone (863) 422-8608
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 |
|---|---|---|---|
| 13488 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720121510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S 5TH ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338445253",
"telephone_number": "863-422-8608",
"fax_number": "863-421-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S 5TH ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338445253",
"telephone_number": "863-422-8608",
"fax_number": "863-421-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARAVINO",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "13488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
- Eduardo Jesus Chico
- Children Achieving Milestones Therapy Services Inc (Children Achieving MIlestones Therpay Services)
- Phomello P Chinheya, APRN
- Chirag Bakulesh Patel MD PA
- Chosen ABA LLC
- Linda C Clark, R.PH.
- Cloud Chiropractic of Haines City
- Victor Hugo Columbie Arbona, ARNP
- Community Care Resources Inc (Community Care Resources Pharmacy)
- Sharon Kay Conlon
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.