Individual provider Active NPI

Gregory C. Stepanski, D.D.S., P.A.

  • Pediatric Dentistry
  • Tampa, FL
National Provider Identifier
1730122441
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN11375 Issued in FL
Practice address
10317B Cross Creek Blvd
Tampa, FL 33647-2765
Phone
(813) 973-3100
Fax
(813) 973-3370
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN11375 FL Primary

Addresses

Primary practice location

10317B Cross Creek Blvd
Tampa, FL 33647-2765

Mailing address

10317B Cross Creek Blvd
Tampa, FL 33647-2765
Phone (813) 973-3100

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
DN11375FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dental Kids of New Tampa, PLLC PastSince Feb 1, 2024 Accepting new patients
Gregory C. Stepanski, D.D.S., P.a. Pediatric Dentistry 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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1730122441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317B CROSS CREEK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472765",
            "telephone_number": "813-973-3100",
            "fax_number": "813-973-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317B CROSS CREEK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472765",
            "telephone_number": "813-973-3100",
            "fax_number": "813-973-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANSKI",
        "first_name": "GREGORY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN11375",
            "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 Feb 8, 2024; 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.