Individual provider Active NPI

Karen D'Antuono, DDS

  • Dentist
  • Tampa, FL
National Provider Identifier
1811303530
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20652 Issued in FL
Practice address
19651 Bruce B Downs Blvd Ste a
Tampa, FL 33647-2445
Phone
(813) 957-5887
Fax
(813) 971-8064
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20652 FL Primary

Addresses

Primary practice location

19651 Bruce B Downs Blvd Ste a
Tampa, FL 33647-2445

Mailing address

19651 Bruce B Downs Blvd Ste a
Tampa, FL 33647-2445
Phone (813) 957-5887

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

LicenseStateTypeSpecialty
DN20652FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1811303530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19651 BRUCE B DOWNS BLVD STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472445",
            "telephone_number": "813-957-5887",
            "fax_number": "813-971-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19651 BRUCE B DOWNS BLVD STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472445",
            "telephone_number": "813-957-5887",
            "fax_number": "813-971-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANTUONO",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20652",
            "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 Feb 20, 2020; 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.