Organization Active NPI

A Safari Dental

  • Pediatric Dentistry
  • New Port Richey, FL
National Provider Identifier
1790060796
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN15905 Issued in FL
Legal business name
A SAFARI DENTAL
Practice address
4427 Rowan Rd
New Port Richey, FL 34653-6198
Phone
(727) 834-8585
Fax
(727) 834-8584
NPI assigned
Oct 21, 2011
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Dr. Frank Carmen Pettinato II, DMD,MS,PA
Title
Managing Partner
Phone
(727) 834-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN15905 FL Primary

Addresses

Primary practice location

4427 Rowan Rd
New Port Richey, FL 34653-6198

Mailing address

4427 Rowan Rd
New Port Richey, FL 34653-6198
Phone (727) 834-8585

National Provider Directory

National Provider Directory

Locations

4427 Rowan Rd
New Port Richey, FL 34653
Phone (727) 834-8585

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1790060796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536198",
            "telephone_number": "727-834-8585",
            "fax_number": "727-834-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536198",
            "telephone_number": "727-834-8585",
            "fax_number": "727-834-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFARI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "PETTINATO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "727-834-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD,MS,PA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN15905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.