NPIMap

Organization Active NPI

Timothy J Flaherty, DDS PA

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1962417360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0005187 Issued in FL
Legal business name
TIMOTHY J FLAHERTY, DDS PA
Practice address
6601 31St Ter N
St Petersburg, FL 33710-3109
Phone
(727) 384-3535
Fax
(727) 381-4456
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Flaherty, DDSNPI 1083621403
Title
President
Phone
(727) 384-3535

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN0005187 FL Primary

Addresses

Primary practice location

6601 31St Ter N
St Petersburg, FL 33710-3109

Mailing address

6601 31St Ter N
St Petersburg, FL 33710-3109
Phone (727) 384-3535

National Provider Directory

National Provider Directory

Locations

6601 31st Ter N
St Petersburg, FL 33710
Phone (727) 384-3535

Practitioners & affiliated clinicians

Practitioners 2

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962417360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 31ST TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103109",
            "telephone_number": "727-384-3535",
            "fax_number": "727-381-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 31ST TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103109",
            "telephone_number": "727-384-3535",
            "fax_number": "727-381-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J FLAHERTY, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLAHERTY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-384-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0005187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.