Active NPI
Tauba Rebecca Susi, DMD
- General Practice Dentistry
- Seminole, FL
National Provider Identifier
1871404749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DRPM3111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Sheila Sunderlin, LMT
- Sunshine Pschiatric Associates, LLC
- Sunstate Physicians Freedom Square LLC
- Devika Suri, PHARMD
- Susan Hudak Boss, D.M.D., P.a.
- Ashley Nicole Sweeney
- Synapsis Mental Health, PLLC
- Synergic Healthcare Solutions LLC (Fast Track Urgent Care Center)
- Diana M Tadros, D.D.S.
- Tampa Bay Optometric Group PA
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.