Active NPI
Bao Tran Dao, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1881040475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22427
- Practice address
- 15511 N Florida Ave Ste 501
Tampa, FL 33613-1215 - Phone
- (813) 223-5677
- Fax
- (813) 223-5688
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN22427 | FL | Primary |
Addresses
Primary practice location
15511 N Florida Ave Ste 501
Tampa, FL 33613-1215
Mailing address
15511 N Florida Ave Ste 501
Tampa, FL 33613-1215
Phone (813) 223-5677
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22427 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1881040475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15511 N FLORIDA AVE STE 501",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131215",
"telephone_number": "813-223-5677",
"fax_number": "813-223-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15511 N FLORIDA AVE STE 501",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131215",
"telephone_number": "813-223-5677",
"fax_number": "813-223-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "BAO TRAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.