Organization Active NPI

Dolphin Ultrasound LLC

  • Specialist
  • Largo, FL
National Provider Identifier
1720172273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HCC6441 Issued in FL
Legal business name
DOLPHIN ULTRASOUND LLC
Practice address
1679 Indian Rocks Rd
Largo, FL 33774-1026
Phone
(727) 585-4501
Fax
(727) 585-4506
NPI assigned
Oct 2, 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
Ms. Sandra Lee Shaffer, RDMS RDCS RVT
Title
President
Phone
(727) 585-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X HCC6441 FL Primary

Addresses

Primary practice location

1679 Indian Rocks Rd
Largo, FL 33774-1026

Mailing address

1679 Indian Rocks Rd
Largo, FL 33774-1026
Phone (727) 585-4501

Other identifiers 4

IdentifierTypeStateIssuer
219554OtherFLAMERIGROUP
V2266OtherFLBCBS
209925OtherFLWELLCARE
05502OtherFLUNIVERSAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720172273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 INDIAN ROCKS RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741026",
            "telephone_number": "727-585-4501",
            "fax_number": "727-585-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 INDIAN ROCKS RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741026",
            "telephone_number": "727-585-4501",
            "fax_number": "727-585-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-585-4501",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDMS RDCS RVT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC6441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "219554",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2266",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "209925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "05502",
            "state": "FL"
        }
    ],
    "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 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.