Active NPI
Mark S Farina, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tampa, FL
National Provider Identifier
1962534347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13062
- Practice address
- 15303 Amberly Dr
Suite E
Tampa, FL 33647-2308 - Phone
- (813) 972-2929
- Fax
- (813) 977-1471
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13062 | FL | Primary |
Addresses
Primary practice location
15303 Amberly Dr
Suite E
Tampa, FL 33647-2308
Mailing address
15303 Amberly Dr
Suite E
Tampa, FL 33647-2308
Phone (813) 972-2929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64995 | Other | BLUE CROSS BLUE SHIELD | |
| 842353 | Other | UNITED CONCORDIA PROV. # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13062 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962534347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15303 AMBERLY DR",
"address_2": "SUITE E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472308",
"telephone_number": "813-972-2929",
"fax_number": "813-977-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15303 AMBERLY DR",
"address_2": "SUITE E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472308",
"telephone_number": "813-972-2929",
"fax_number": "813-977-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARINA",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "13062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "64995",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROV. #",
"identifier": "842353",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.