Individual provider Active NPI

Nicholas Ferrando

  • General Practice Dentistry
  • Lithia, FL
National Provider Identifier
1851040463
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27749 Issued in FL
Practice address
5605 Skytop Dr
Lithia, FL 33547-4165
Phone
(813) 737-7370
NPI assigned
Mar 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27749 FL Primary

Addresses

Primary practice location

5605 Skytop Dr
Lithia, FL 33547-4165

Mailing address

334 2ND Ave S Apt 1709
Saint Petersburg, FL 33701-4759
Phone (814) 450-6274

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
DN27749FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Smiles, PLLC General Practice Current Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1851040463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 2ND AVE S APT 1709",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014759",
            "telephone_number": "814-450-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 SKYTOP DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474165",
            "telephone_number": "813-737-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRANDO",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.