Individual provider Active NPI

Ami Pagidipati, DMD

  • Endodontics
  • Ocala, FL
National Provider Identifier
1962714857
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN 20103 Issued in FL
Practice address
8409 SW 80TH St
Ocala, FL 34481-9117
Phone
(352) 306-0062
NPI assigned
Jul 8, 2010
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN 20103 FL Primary

Addresses

Primary practice location

8409 SW 80TH St
Ocala, FL 34481-9117

Mailing address

450 Knights Run Ave Unit 1801
Tampa, FL 33602-5996
Phone (813) 340-1644

Other practice location 1

3165 N McMullen Booth Rd Ste A2
Clearwater, FL 33761-2020
Phone (727) 796-2183

Other names 1

  • Dr. Ami M Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709002736 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0042522682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 20103FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Vipcare Dental PLLC CurrentSince Nov 30, 2017 Accepting new patients
Azalea Marion, LLC Current Accepting new patients
Endodontic Associates Endodontics Past Accepting new patients

Locations

8409 SW 80th St
Ocala, FL 34481
Phone (352) 306-0062

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1962714857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 KNIGHTS RUN AVE UNIT 1801",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025996",
            "telephone_number": "813-340-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 SW 80TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344819117",
            "telephone_number": "352-306-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 N McMullen Booth Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612020",
            "country_code": "US",
            "telephone_number": "727-796-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGIDIPATI",
        "first_name": "AMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN 20103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMI",
            "last_name": "PATEL",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.