Active NPI
Irene Melendres Gianzon
- Dental Hygienist
- Tampa, FL
National Provider Identifier
1972196848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH17112
- Practice address
- 14815 N Dale Mabry Hwy
Tampa, FL 33618-2027 - Phone
- (813) 264-1993
- Fax
- (813) 264-6764
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH17112 | FL | Primary |
Addresses
Primary practice location
14815 N Dale Mabry Hwy
Tampa, FL 33618-2027
Mailing address
14815 N Dale Mabry Hwy
Tampa, FL 33618-2027
Phone (813) 264-1993
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 |
|---|---|---|---|
| DH17112 | FL | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Current | Accepting new patients | |
| Coast Florida P.a. | Past | Accepting new patients |
Locations
14815 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 264-1993
Organizations & group practices 2
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.
-
- Dentist
- Tampa, FL
- NPI 1174199558
-
- Dentist
- Tampa, FL
- NPI 1730287673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1972196848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14815 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182027",
"telephone_number": "813-264-1993",
"fax_number": "813-264-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14815 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182027",
"telephone_number": "813-264-1993",
"fax_number": "813-264-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANZON",
"first_name": "IRENE",
"middle_name": "MELENDRES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH17112",
"primary": true
}
],
"identifiers": [],
"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 Feb 11, 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.