Individual provider Active NPI

Amy G. Doan, D.D.S.

  • General Practice Dentistry
  • Largo, FL
National Provider Identifier
1881706232
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16319 Issued in FL
Practice address
1601 E Bay Dr Ste 1
Largo, FL 33771-5616
Phone
(727) 585-5675
Fax
(727) 588-0114
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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 DN16319 FL Primary

Addresses

Primary practice location

1601 E Bay Dr Ste 1
Largo, FL 33771-5616

Mailing address

1601 E Bay Dr Ste 1
Largo, FL 33771-5616
Phone (727) 585-5675

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
DN16319FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Dental LLC CurrentSince Aug 17, 2025 Accepting new patients
I Smile Signature Dentistry Past Accepting new patients

Locations

1601 E Bay Dr
Ste 1
Largo, FL 33771
Phone (727) 585-5675

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1881706232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BAY DR STE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715616",
            "telephone_number": "727-585-5675",
            "fax_number": "727-588-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BAY DR STE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715616",
            "telephone_number": "727-585-5675",
            "fax_number": "727-588-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "AMY",
        "middle_name": "G.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.