Individual provider Active NPI

Ricardo B. Fontoura, DMD

  • Pediatric Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1730539131
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN21845 Issued in FL
Practice address
2242 Ashley Oaks Cir
Wesley Chapel, FL 33544-6404
Phone
(813) 991-5300
NPI assigned
Jun 16, 2016
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 DN21845 FL Primary

Addresses

Primary practice location

2242 Ashley Oaks Cir
Wesley Chapel, FL 33544-6404

Mailing address

2242 Ashley Oaks Cir
Wesley Chapel, FL 33544-6404
Phone (813) 991-5300

Other practice location 1

6935 Land O Lakes Blvd
Land O Lakes, FL 34638-3231
Phone (813) 530-3300

Other practice location 2

1180 Ponce De Leon Blvd Ste 401
Clearwater, FL 33756-1014
Phone (727) 310-0410

Other practice location 3

10909 W Linebaugh Ave Ste 102
Tampa, FL 33626-1741
Phone (813) 774-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000723 FL Order and Referring Only - DentistPractitioner - Dentist 4082909916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21845FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco H Bezerra DDS PA Pediatric Dentistry PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1730539131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 ASHLEY OAKS CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446404",
            "telephone_number": "813-991-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 ASHLEY OAKS CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446404",
            "telephone_number": "813-991-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6935 Land O Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346383231",
            "country_code": "US",
            "telephone_number": "813-530-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Ponce De Leon Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337561014",
            "country_code": "US",
            "telephone_number": "727-310-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10909 W Linebaugh Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336261741",
            "country_code": "US",
            "telephone_number": "813-774-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTOURA",
        "first_name": "RICARDO",
        "middle_name": "B.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.