Individual provider Active NPI

Hormoz Atashpour Saber, D.O.

  • Family Medicine Physician
  • Dunedin, FL
National Provider Identifier
1730409004
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0003186 Issued in FL
Practice address
1214 Inverness Dr
Dunedin, FL 34698-2703
Phone
(727) 474-5731
Fax
(727) 474-5731
NPI assigned
Jun 9, 2010
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0003186 FL Primary

Addresses

Primary practice location

1214 Inverness Dr
Dunedin, FL 34698-2703

Mailing address

1214 Inverness Dr
Dunedin, FL 34698-2703
Phone (727) 474-5731

Other identifiers 2

IdentifierTypeStateIssuer
0504076MedicaidFL
003031OtherFLAUDIT

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0003186FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1730409004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 INVERNESS DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982703",
            "telephone_number": "727-474-5731",
            "fax_number": "727-474-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 INVERNESS DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982703",
            "telephone_number": "727-474-5731",
            "fax_number": "727-474-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABER",
        "first_name": "HORMOZ",
        "middle_name": "ATASHPOUR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0003186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0504076",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIT",
            "identifier": "003031",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.