Individual provider Active NPI

Leah M Stamler, DDS

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1821284845
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23952 Issued in FL
Practice address
2605 W Swann Ave Ste 200
Tampa, FL 33609-4039
Phone
(813) 871-6050
Fax
(813) 348-0817
NPI assigned
Sep 24, 2007
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23952 FL Primary
General Practice Dentistry 1223G0001X 22DI02190300 NJ

Addresses

Primary practice location

2605 W Swann Ave Ste 200
Tampa, FL 33609-4039

Mailing address

2605 W Swann Ave Ste 200
Tampa, FL 33609-4039
Phone (813) 871-6050

Other practice location 1

21 S Kinderkamack Rd
Montvale, NJ 07645-2112
Phone (201) 391-5565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217000040 FL Order and Referring Only - DentistPractitioner - Dentist 5597177436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02190300NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. CurrentSince Jun 22, 2021 Accepting new patients
Robert H. Guller, DMD Past Accepting new patients
Coast Dental P.a. PastSince Dec 6, 2020 Accepting new patients

Locations

2605 W Swann Ave
Ste 200
Tampa, FL 33609
Phone (813) 871-6050

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1821284845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-871-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-871-6050",
            "fax_number": "813-348-0817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 S Kinderkamack Rd",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076452112",
            "country_code": "US",
            "telephone_number": "201-391-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMLER",
        "first_name": "LEAH",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23952",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02190300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.