Organization Active NPI

Tampa Dental

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1992194161
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TAMPA DENTAL
Practice address
6421 Sheldon Rd
Tampa, FL 33615-3102
Phone
(813) 888-9004
Fax
(813) 888-9517
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Dr. Nick Kavouklis, D.D.S.NPI 1508053109
Title
Dentist/Owner
Phone
(813) 888-9004

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6421 Sheldon Rd
Tampa, FL 33615-3102

Mailing address

6421 Sheldon Rd
Tampa, FL 33615-3102
Phone (813) 888-9004

National Provider Directory

National Provider Directory

Locations

6421 Sheldon Rd
Tampa, FL 33615
Phone (813) 888-9004

Practitioners & affiliated clinicians

Practitioners 3

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": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1992194161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153102",
            "telephone_number": "813-888-9004",
            "fax_number": "813-888-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153102",
            "telephone_number": "813-888-9004",
            "fax_number": "813-888-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "KAVOUKLIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "813-888-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Apr 16, 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.