Ana Maria Bush, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14833 Issued in FL

Practice address

24632 State Road 54
Lutz, FL 33559-7307

Phone

(813) 948-6336

Fax

(813) 948-6394

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bush, Dr. P.a.

  • General Practice Dentistry
  • Lutz, FL
  • NPI 1114136256
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1881759462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24632 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597307",
            "telephone_number": "813-948-6335",
            "fax_number": "813-948-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24632 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597307",
            "telephone_number": "813-948-6336",
            "fax_number": "813-948-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "ANA MARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DN14833",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Brunton Cooley, APRN
• Stephanie Buchanan
• Amber Danielle Budary-Corbin
• Valerie Buethe, ARNP
• Skyeler Burkart, BT
• Bush, Dr. P.a.
• Robert Ian Bushey, PHARMD
• Michelle Marie Busot
• Robert Anthony Buzzeo, MD
• Amelia Mercedes Caceres Tejada, DMD

• General Practice Dentistry in Lutz, FL
• Providers in Lutz, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.