Organization Active NPI

Dental Associates of New Tampa

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1811311533
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL ASSOCIATES OF NEW TAMPA
Practice address
14201 Bruce B Downs Blvd
Suite 1
Tampa, FL 33613-3906
Phone
(813) 977-6962
Fax
(813) 971-4872
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Mrs. Crystal B Barron
Title
Insurance Direct Supervisor
Phone
(813) 977-6962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14201 Bruce B Downs Blvd
Suite 1
Tampa, FL 33613-3906

Mailing address

14201 Bruce B Downs Blvd
Suite 1
Tampa, FL 33613-3906
Phone (813) 977-6962

National Provider Directory

National Provider Directory

Locations

14201 Bruce B Downs Blvd
Ste 1
Tampa, FL 33613
Phone (813) 977-6962

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1811311533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-977-6962",
            "fax_number": "813-971-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-977-6962",
            "fax_number": "813-971-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF NEW TAMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "INSURANCE DIRECT SUPERVISOR",
        "authorized_official_telephone_number": "813-977-6962",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 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.