Individual provider Active NPI

Hector L Beza, OF

  • Orthotic Fitter
  • Tampa, FL
National Provider Identifier
1841824869
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
ORF270 Issued in FL
Practice address
812 W MLK Blvd Ste 100
Tampa, FL 33603-3338
Phone
(813) 224-0525
Fax
(813) 224-0622
NPI assigned
Feb 28, 2020
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X ORF270 FL Primary

Addresses

Primary practice location

812 W MLK Blvd Ste 100
Tampa, FL 33603-3338

Mailing address

1514 E Lambright St
Tampa, FL 33610-3433
Phone (813) 789-0858

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tampa

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
ORF270FLMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Orthopaedic Designs Inc PastSince Mar 1, 2020 Accepting new patients
Tampa Bay Orthopaedic Designs, Inc. PastSince Mar 1, 2020 Accepting new patients

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, 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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1841824869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 E LAMBRIGHT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336103433",
            "telephone_number": "813-789-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W MLK BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033338",
            "telephone_number": "813-224-0525",
            "fax_number": "813-224-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZA",
        "first_name": "HECTOR",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "OF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": "FL",
            "license": "ORF270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "812 W Mlk Blvd Ste 100",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336033338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 28, 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.