NPIMap

Organization Active NPI

Neil M Brodsky DDS PA

Doing business as Lifeway Dental Connections

  • Dental Clinic/Center
  • Seminole, FL
National Provider Identifier
1033268206
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN0012131 Issued in FL
Legal business name
NEIL M BRODSKY DDS PA
Doing business as
Lifeway Dental Connections
Practice address
9303 Seminole Blvd
#D
Seminole, FL 33772-3100
Phone
(727) 548-5454
NPI assigned
Jan 9, 2007
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Neil M Brodsky, DDSNPI 1740203009
Title
Owner
Phone
(727) 548-5454

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
Dental Clinic/Center 261QD0000X DN0012131 FL Primary

Addresses

Primary practice location

9303 Seminole Blvd
#D
Seminole, FL 33772-3100

Mailing address

9303 Seminole Blvd
#D
Seminole, FL 33772-3100
Phone (727) 548-5454

Other names 1

  • Lifeway Dental Connections Doing business as

National Provider Directory

National Provider Directory

Locations

9303 Seminole Blvd
Ste D
Seminole, FL 33772
Phone (727) 391-0129

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1033268206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 SEMINOLE BLVD",
            "address_2": "#D",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337723100",
            "telephone_number": "727-548-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 SEMINOLE BLVD",
            "address_2": "#D",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337723100",
            "telephone_number": "727-548-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL M BRODSKY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-548-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0012131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeway Dental Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.