NPIMap

Louis P Cerillo, DDS, PA

Organization Active NPI Dental Clinic/Center · Tampa, FL

NPI 1922536853 · NPPES record last updated May 23, 2017

Key facts

NPI
1922536853
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
DN11574 (FL)
Legal business name
LOUIS P CERILLO, DDS, PA
Practice address
15277 Amberly Dr
Tampa, FL 33647-2155
Phone
(813) 971-1688
Fax
(813) 971-4322
NPI assigned
May 23, 2017
Organization subpart
No

Authorized official

Name
Louis P Cerillo, DDS NPI 1619199023
Title
President/Dentist
Phone
(813) 971-1688

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

15277 Amberly Dr
Tampa, FL 33647
Phone (813) 971-1688

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN11574 FL Yes

Addresses

Primary practice location

15277 Amberly Dr
Tampa, FL 33647-2155

Mailing address

15277 Amberly Dr
Tampa, FL 33647-2155
Phone (813) 971-1688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 23, 2017.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1922536853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15277 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-971-1688",
            "fax_number": "813-971-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15277 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-971-1688",
            "fax_number": "813-971-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS P CERILLO, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "CERILLO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "813-971-1688",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN11574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

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Sources for this page

Verify at the official NPI Registry.