NPIMap

Organization Active NPI

Dentaland, Ft Pierce

  • Dentist
  • Fort Pierce, FL
National Provider Identifier
1023250255
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN5487 Issued in FL
Legal business name
DENTALAND, FT PIERCE
Practice address
2505 S Federal Hwy
Sabal Palm Plaza
Fort Pierce, FL 34982-5922
Phone
(772) 464-4646
Fax
(772) 460-9967
NPI assigned
Apr 2, 2009
Organization subpart
Yes
Parent organization
DENTALAND, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Jeffrey Feingold, DDS
Title
Ceo
Phone
(954) 719-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN5487 FL Primary

Addresses

Primary practice location

2505 S Federal Hwy
Sabal Palm Plaza
Fort Pierce, FL 34982-5922

Mailing address

3230 W Commercial Blvd
Suite 190
Fort Lauderdale, FL 33309-3429
Phone (954) 719-4420

National Provider Directory

National Provider Directory
Tax ID family
Dentaland PA4 organizations share this tax ID, including this one
Part of
Dentaland PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2505 S Federal Hwy
Fort Pierce, FL 34982
Phone (772) 464-4646

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": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1023250255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 W COMMERCIAL BLVD",
            "address_2": "SUITE 190",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093429",
            "telephone_number": "954-719-4420",
            "fax_number": "954-678-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S FEDERAL HWY",
            "address_2": "SABAL PALM PLAZA",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825922",
            "telephone_number": "772-464-4646",
            "fax_number": "772-460-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALAND, FT PIERCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALAND, PA",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "FEINGOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-719-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN5487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.