Organization Active NPI

Juan F. Prado D.D.S. P.a.

  • Preferred Provider Organization
  • Tampa, FL
National Provider Identifier
1780083501
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DN20896 Issued in FL
Legal business name
JUAN F. PRADO D.D.S. P.A.
Practice address
13301 N Dale Mabry Hwy Ste D
Tampa, FL 33618-2400
Phone
(813) 968-1373
Fax
(813) 960-3560
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Juan Francisco Prado, D.D.S.NPI 1568509768
Title
Owner
Phone
(813) 968-1373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DN20896 FL Primary

Addresses

Primary practice location

13301 N Dale Mabry Hwy Ste D
Tampa, FL 33618-2400

Mailing address

13301 N Dale Mabry Hwy Ste D
Tampa, FL 33618-2400
Phone (813) 968-1373

National Provider Directory

National Provider Directory
Tax ID family
Juan F Prado DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13301 N Dale Mabry Hwy
Ste D
Tampa, FL 33618
Phone (813) 968-1373

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1780083501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N DALE MABRY HWY STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182400",
            "telephone_number": "813-968-1373",
            "fax_number": "813-960-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N DALE MABRY HWY STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182400",
            "telephone_number": "813-968-1373",
            "fax_number": "813-960-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN F. PRADO D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-968-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN20896",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2014; 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.