Individual provider Active NPI

Astrid Cardenas Sarracino, DDS

  • Dentist
  • Largo, FL
National Provider Identifier
1962831644
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21523 Issued in FL
Practice address
1940 W Bay Dr Ste 1
Largo, FL 33770-3024
Phone
(727) 586-1732
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21523 FL Primary

Addresses

Primary practice location

1940 W Bay Dr Ste 1
Largo, FL 33770-3024

Mailing address

1940 W Bay Dr Ste 1
Largo, FL 33770-3024
Phone (727) 586-1732

Other practice location 1

10021 Pines Blvd # 100
Pembroke Pines, FL 33024-6191
Phone (954) 417-1337

Other practice location 2

1748 Bruce B Downs Blvd # 125
Wesley Chapel, FL 33544
Phone (813) 907-1151

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

LicenseStateTypeSpecialty
DN21523FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Dental PA Dentist CurrentSince Oct 9, 2022 Accepting new patients

Locations

1940 West Bay Dr
Ste 1
Largo, FL 33770
Phone (727) 586-1732

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1962831644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W BAY DR STE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703024",
            "telephone_number": "727-586-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W BAY DR STE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703024",
            "telephone_number": "727-586-1732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10021 Pines Blvd # 100",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246191",
            "country_code": "US",
            "telephone_number": "954-417-1337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1748 Bruce B Downs Blvd # 125",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "33544",
            "country_code": "US",
            "telephone_number": "813-907-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS SARRACINO",
        "first_name": "ASTRID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.