Patrick Chase, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012292 Issued in FL

Practice address

6161 Dr.MLK.Jr. St. N. Ste103
St. Petersburg, FL 33703-0656

Phone

(727) 527-4955

Fax

(727) 526-5716

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841389178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 DR.MLK.JR. ST. N. STE103",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337030656",
            "telephone_number": "727-527-4955",
            "fax_number": "727-526-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 DR.MLK.JR. ST. N. STE103",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337030656",
            "telephone_number": "727-527-4955",
            "fax_number": "727-526-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charamine'S Loving Care Services
• Alexis Kervin Charlery
• Charles K Friedman DO PA
• Daniel Charles
• Charlotte Harbor Anesthesia PA
• Stacy Dannielle Chase, D.O.
• Tess Elaine Chase, M.D.
• Sameen Chaudhry
• Diana Beatriz Chavez Lopez
• Heinz C Chavez, MD

• General Practice Dentistry in St. Petersburg, FL
• Providers in St. Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.