Individual provider Active NPI

Sharon Middle Castricone

  • Dental Hygienist
  • St Petersburg, FL
National Provider Identifier
1811592686
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH19732 Issued in FL
Practice address
11018 4TH St N
St Petersburg, FL 33716-2945
Phone
(727) 577-3844
Fax
(727) 578-0869
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH19732 FL Primary

Addresses

Primary practice location

11018 4TH St N
St Petersburg, FL 33716-2945

Mailing address

11018 4TH St N
St Petersburg, FL 33716-2945
Phone (727) 577-3844

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
DH19732FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. PastSince Dec 6, 2020 Accepting new patients

Locations

11018 4th St N
St Petersburg, FL 33716
Phone (727) 577-3844

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1811592686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162945",
            "telephone_number": "727-577-3844",
            "fax_number": "727-578-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11018 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162945",
            "telephone_number": "727-577-3844",
            "fax_number": "727-578-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRICONE",
        "first_name": "SHARON",
        "middle_name": "MIDDLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH19732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.