Active NPI
Darshanand Persaud, DMD
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1760533681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN16252
- Practice address
- 15323 Amberly Dr
Tampa, FL 33647-2144 - Phone
- (813) 910-3333
- Fax
- (813) 910-3323
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN16252 | FL | Primary |
Addresses
Primary practice location
15323 Amberly Dr
Tampa, FL 33647-2144
Mailing address
15323 Amberly Dr
Tampa, FL 33647-2144
Phone (813) 910-3333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86505 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1583145 | Other | FL | UNITED CONCORDIA |
| 183772 | Other | FL | COMPBENEFITS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104003505 | FL | Order and Referring Only - Dentist | 1456653427 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amberly Family 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.
-
- Dentist
- Tampa, FL
- NPI 1740313030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760533681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15323 AMBERLY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472144",
"telephone_number": "813-910-3333",
"fax_number": "813-910-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15323 AMBERLY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472144",
"telephone_number": "813-910-3333",
"fax_number": "813-910-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "DARSHANAND",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN16252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86505",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1583145",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPBENEFITS",
"identifier": "183772",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.