Stephen P Obrochta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8940 Issued in FL

Practice address

4464 Central Ave
St Petersburg, FL 33711-1142

Phone

(727) 321-4464

Fax

(727) 323-3248

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992728513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111142",
            "telephone_number": "727-321-4464",
            "fax_number": "727-323-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111142",
            "telephone_number": "727-321-4464",
            "fax_number": "727-323-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBROCHTA",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenisa Oberbeck, D.O.
• Drew Thomas Obermeier, PA-C
• Chiamaka C Obinka, NP
• John J Obrien Jr., MD
• Rhonda Manning Obrien, ADVANCED REG NURSE P
• Maria Sasha Ocampo, REGISTERED DIETIITAN
• Nicolle Ocasio Abrams, MD
• Occupational Health Centers of the Southwest, P.a. (FL) (Concentra Medical Center)
• Occupational Health Centers of the Southwest, P.a. (FL) (Concentra Medical Center)
• Ocean Crest Home Care LLC

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.