Active NPI
Sabrina Stewart Lugo, DDS
- Pediatric Dentistry
- Clearwater, FL
National Provider Identifier
1720599897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN28588
- Practice address
- 1180 Ponce de Leon Blvd Ste 401
Clearwater, FL 33756-1014 - Phone
- (727) 261-0304
- Fax
- (205) 271-6836
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN28588 | FL | Primary |
| Dentist | 122300000X | 6469 | AL |
Addresses
Primary practice location
1180 Ponce de Leon Blvd Ste 401
Clearwater, FL 33756-1014
Mailing address
1900 Crestwood Blvd Ste 211
Irondale, AL 35210-2056
Phone (205) 271-6841
Other names 1
- Sabrina Alexa Stewart
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 |
|---|---|---|---|
| 6469 | AL | MD | Dentist |
| DN28588 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Smiles Alabama II PC | Dentist | Past | Accepting new patients |
| Vital Smiles Alabama, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Huntsville, AL
- NPI 1265999395
-
- General Practice Dentistry
- Huntsville, AL
- NPI 1962557181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694304000000",
"number": "1720599897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CRESTWOOD BLVD STE 211",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352102056",
"telephone_number": "205-271-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 PONCE DE LEON BLVD STE 401",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337561014",
"telephone_number": "727-261-0304",
"fax_number": "205-271-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "SABRINA",
"middle_name": "STEWART",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2023-09-10",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN28588",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SABRINA",
"last_name": "STEWART",
"middle_name": "ALEXA",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.