Individual provider Active NPI

Nan Zhong, DDS

  • General Practice Dentistry
  • Clearwater, FL
National Provider Identifier
1760002901
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25134 Issued in FL
Practice address
516 Lakeview Rd Ste 1
Clearwater, FL 33756-3302
Phone
(727) 620-5858
Fax
(727) 620-5858
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN25134 FL Primary

Addresses

Primary practice location

516 Lakeview Rd Ste 1
Clearwater, FL 33756-3302

Mailing address

516 Lakeview Rd Ste 1
Clearwater, FL 33756-3302
Phone (727) 620-5858

Other practice location 1

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8963

Other practice location 2

13584 University Plaza St
Tampa, FL 33613-4628
Phone (813) 971-8141

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
I20210730000109 FL Order and Referring Only - DentistPractitioner - Dentist 1456754266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN25134FLMDGeneral Practice Dentistry

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Feb 1, 2024 Accepting new patients
Prime Dental Care LLC CurrentSince Dec 29, 2024 Accepting new patients
Coast Florida P.a. PastSince Feb 1, 2024 Accepting new patients
Denture Place, LLC General Practice PastSince Jun 1, 2023 Accepting new patients

Locations

516 Lakeview Rd
Ste 1
Clearwater, FL 33756
Phone (727) 449-9292

13584 University Plaza St
Tampa, FL 33613
Phone (813) 971-8141

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1760002901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD STE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-620-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD STE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-620-5858",
            "fax_number": "727-620-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015425",
            "country_code": "US",
            "telephone_number": "718-250-8963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13584 University Plaza St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134628",
            "country_code": "US",
            "telephone_number": "813-971-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHONG",
        "first_name": "NAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.