Active NPI
Dan Prasatthong, D.D.S.
- Pediatric Dentistry
- St Petersburg, FL
National Provider Identifier
1760519953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13769
- Practice address
- 7701 38TH Ave N
St Petersburg, FL 33710-1234 - Phone
- (727) 345-3151
- Fax
- (727) 345-6551
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13769 | FL | Primary |
Addresses
Primary practice location
7701 38TH Ave N
St Petersburg, FL 33710-1234
Mailing address
9109 Silverthorn Rd
Largo, FL 33777-3160
Phone (727) 398-5459
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13769 | FL | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levitt & Prasatthong, D. D. S., P. a. | Pediatric Dentistry | Past | 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 and National Provider Directory roles.
-
- Pediatric Dentistry
- St Petersburg, FL
- NPI 1992832091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760519953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 SILVERTHORN RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337773160",
"telephone_number": "727-398-5459",
"fax_number": "727-345-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101234",
"telephone_number": "727-345-3151",
"fax_number": "727-345-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASATTHONG",
"first_name": "DAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "13769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.