Organization Active NPI

Pedro a. Belaunzaran DDS PA

  • Dentist
  • Tampa, FL
National Provider Identifier
1831433994
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0013554 Issued in FL
Legal business name
PEDRO A. BELAUNZARAN DDS PA
Practice address
8130 W Waters Ave
Suite 200-B
Tampa, FL 33615-1821
Phone
(813) 243-4142
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Pedro Anibal BelaunzaranNPI 1164513610
Title
Denstist/Owner
Phone
(813) 243-4142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN0013554 FL Primary

Addresses

Primary practice location

8130 W Waters Ave
Suite 200-B
Tampa, FL 33615-1821

Mailing address

8130 W Waters Ave
Suite 200-B
Tampa, FL 33615-1821
Phone (813) 243-4142

Other identifiers 1

IdentifierTypeStateIssuer
074916800MedicaidFL

National Provider Directory

National Provider Directory

Locations

8130 W Waters Ave
Ste 200B
Tampa, FL 33615
Phone (619) 733-2786

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1831433994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 W WATERS AVE",
            "address_2": "SUITE 200-B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151821",
            "telephone_number": "813-243-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 W WATERS AVE",
            "address_2": "SUITE 200-B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151821",
            "telephone_number": "813-243-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO A. BELAUNZARAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "BELAUNZARAN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ANIBAL",
        "authorized_official_title_or_position": "DENSTIST/OWNER",
        "authorized_official_telephone_number": "813-243-4142",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0013554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074916800",
            "state": "FL"
        }
    ],
    "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 Nov 15, 2012; 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.