Organization Active NPI

Groomes Dental P.a.

  • General Practice Dentistry
  • Dade City, FL
National Provider Identifier
1013067503
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15978 Issued in FL
Legal business name
GROOMES DENTAL P.A.
Practice address
37149 Florida Ave
Dade City, FL 33525-4625
Phone
(352) 567-2997
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Rebecca GroomesNPI 1780959908
Title
Owner /Doctor
Phone
(352) 567-2997

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15978 FL Primary

Addresses

Primary practice location

37149 Florida Ave
Dade City, FL 33525-4625

Mailing address

37149 Florida Ave
Dade City, FL 33525-4625
Phone (352) 567-2997

National Provider Directory

National Provider Directory

Locations

37149 Florida Ave
Dade City, FL 33525
Phone (352) 567-2997

Practitioners & affiliated clinicians

Practitioners 2

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1013067503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37149 FLORIDA AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254625",
            "telephone_number": "352-567-2997",
            "fax_number": "352-567-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37149 FLORIDA AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254625",
            "telephone_number": "352-567-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOMES DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "GROOMES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER /DOCTOR",
        "authorized_official_telephone_number": "352-567-2997",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "15978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.