NPIMap

Organization Active NPI

Affordable Dentures - Tampa , P.a.

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1942345004
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES - TAMPA , P.A.
Doing business as
Affordable Dentures & Implants - Tampa
Practice address
14936 N Florida Ave Ste 101
Tampa, FL 33613-1641
Phone
(813) 963-3720
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Dr. Jase R Hackney, DMDNPI 1295836880
Title
Owner
Phone
(813) 963-3720

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14936 N Florida Ave Ste 101
Tampa, FL 33613-1641

Mailing address

14936 N Florida Ave Ste 101
Tampa, FL 33613-1641
Phone (813) 963-3720

Other names 1

  • Affordable Dentures & Implants - Tampa Doing business as

National Provider Directory

National Provider Directory

Locations

234 E Bearss Ave
Tampa, FL 33613
Phone (813) 337-6353

14936 N Florida Ave
Ste 101
Tampa, FL 33613
Phone (813) 963-3720

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1942345004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14936 N FLORIDA AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131641",
            "telephone_number": "813-963-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14936 N FLORIDA AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131641",
            "telephone_number": "813-963-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - TAMPA , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "HACKNEY",
        "authorized_official_first_name": "JASE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-963-3720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2024; 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.