JONATHAN COREY TANNER (NPI# 1720623606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720623606 |
| Entity Type | Individual |
| Full Name | JONATHAN COREY TANNER |
| Practice Address |
1344 22nd St S St Petersburg FL 33712-2744 |
| Mailing Address |
7017 Monarch Park Dr Apollo Beach FL 33572-8113 |
| Practice Telephone | 7278248181 |
| Mailing Telephone | 6149619015 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN24535 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417972555 | Jonathan R Tanner | Radiology | 400 Wabash Ave, Akron, OH 44307-2433 | 2006-07-12 |
| 1851334130 | Jonathan W Tanner | Anesthesiology | 3400 Spruce Street, 6 Dulles Building, Philadelphia, PA 19104 | 2006-06-14 |
| Street Address |
1344 22ND ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376531988 | James William Kenney | Chiropractor | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2005-10-07 |
| 1376155937 | Leidy Santos | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-08-17 |
| 1104440676 | Callie Ashlock | Nurse Practitioner | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-06-01 |
| 1477172393 | Jamekia Shonta Grant | Pharmacist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-04-10 |
| 1447806484 | Joshua Colvin | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2019-08-15 |
| 1194283382 | Community Health Center of Pinellas Inc | Clinic/Center | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2019-03-06 |
| 1346749892 | Megan Marie Hindmon | Nurse Practitioner | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2018-02-09 |
| 1255859690 | Jenny Marie Bagg | Advanced Practice Midwife | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-09-06 |
| 1649792649 | Elizabeth Lynne Plumley | Advanced Practice Midwife | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-07-11 |
| 1902339518 | Kesha Thomas Williams | Family Medicine | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374233 | James W Felch | Dentist | 1904 4th St N, St Petersburg, FL 33704-4308 | 2019-06-11 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1205286028 | Fred Benzenhafer | Dentist | 4045 Tyrone Blvd N, St Petersburg, FL 33709-4118 | 2016-06-14 |
| 1154776730 | Park Street Dental | Dentist | 4911 Park St N, Suite A, St Petersburg, FL 33709-2227 | 2016-05-02 |
| 1841602356 | Lauren Caroline Krauser | Dentist | 1015 58th St N, St Petersburg, FL 33710-6326 | 2014-06-02 |
| 1952713547 | Ivo Bushati | Dentist | 10472 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2014-05-29 |
| 1487065058 | Tyrone Square Mall Dental P.a | Dentist | 6747 Tyrone Sq, St Petersburg, FL 33710-3934 | 2014-05-16 |
| 1265858807 | Anna Shoopak | Dentist | 3100 4th St N Unit 2, St Petersburg, FL 33704-2154 | 2014-03-06 |
| 1215378468 | Yukti Gulati | Dentist | 4300 4th St N Ste A, St Petersburg, FL 33703-4700 | 2013-07-16 |
| 1265873715 | Wade William Hancock | Dentist | 5415 Park St N Ste A, St Petersburg, FL 33709-1028 | 2013-07-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.