Individual provider Active NPI

Elizabeth Dang Ho, DDS

  • General Practice Dentistry
  • Palm Harbor, FL
National Provider Identifier
1750577425
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21698 Issued in FL
Practice address
34812 US Highway 19 N
Palm Harbor, FL 34684-1918
Phone
(727) 787-1226
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08502 IA
General Practice Dentistry 1223G0001X DN21698 FL Primary

Addresses

Primary practice location

34812 US Highway 19 N
Palm Harbor, FL 34684-1918

Mailing address

34812 US Highway 19 N
Palm Harbor, FL 34684-1918
Phone (727) 787-1226

Other practice location 1

606 Fisher St Rm 1
Keesler AFB, MS 39534-2513
Phone (228) 376-0511

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.gracedentalfl.com

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

LicenseStateTypeSpecialty
08502IAMDDentist
DN21698FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1750577425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34812 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841918",
            "telephone_number": "727-787-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34812 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841918",
            "telephone_number": "727-787-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Fisher St Rm 1",
            "address_purpose": "LOCATION",
            "city": "Keesler AFB",
            "state": "MS",
            "postal_code": "395342513",
            "country_code": "US",
            "telephone_number": "228-376-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "ELIZABETH",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08502",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gracedentalfl.com",
            "affiliation": "N",
            "endpointDescription": "office website",
            "address_1": "34812 US Highway 19 N",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346841918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

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