Individual provider Active NPI

Tauba Rebecca Susi, DMD

  • General Practice Dentistry
  • Seminole, FL
National Provider Identifier
1871404749
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DRPM3111 Issued in FL
Practice address
9200 113TH St
Seminole, FL 33772-2800
Phone
(727) 893-5050
Fax
(727) 893-5051
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 DRPM3111 FL Primary

Addresses

Primary practice location

9200 113TH St
Seminole, FL 33772-2800

Mailing address

9200 113TH St
Seminole, FL 33772-2800
Phone (727) 893-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1871404749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722800",
            "telephone_number": "727-893-5050",
            "fax_number": "727-893-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722800",
            "telephone_number": "727-893-5050",
            "fax_number": "727-893-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSI",
        "first_name": "TAUBA",
        "middle_name": "REBECCA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DRPM3111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.