Organization Active NPI

TDC of West Cape Coral PLLC

  • Dental Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1043183601
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TDC OF WEST CAPE CORAL PLLC
Practice address
2534 SE Santa Barbara PL Ste 202
Cape Coral, FL 33904-2709
Phone
(239) 800-3332
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Jordan Tomalty
Title
Owner
Phone
(561) 633-9676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2534 SE Santa Barbara PL Ste 202
Cape Coral, FL 33904-2709

Mailing address

2534 SE Santa Barbara PL Ste 202
Cape Coral, FL 33904-2709
Phone (239) 800-3332

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1043183601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 SE SANTA BARBARA PL STE 202",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339042709",
            "telephone_number": "239-800-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 SE SANTA BARBARA PL STE 202",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339042709",
            "telephone_number": "239-800-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC OF WEST CAPE CORAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-633-9676"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.