Organization Active NPI

NBW, D.D.S., Inc.

  • General Practice Dentistry
  • Tallahassee, FL
National Provider Identifier
1043328024
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 0010851 Issued in FL
Legal business name
NBW, D.D.S., INC.
Practice address
2808 N. Remington Green Circle
Suite 100
Tallahassee, FL 32308
Phone
(850) 383-1052
Fax
(850) 383-1366
NPI assigned
Aug 29, 2006
Organization subpart
Yes
Parent organization
TCG DENTAL SPECIALIST, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Neal B Waldman, DDS
Title
Dentist/President
Phone
(850) 383-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN 0010851 FL Primary

Addresses

Primary practice location

2808 N. Remington Green Circle
Suite 100
Tallahassee, FL 32308

Mailing address

2808 N. Remington Green Circle
Suite 100
Tallahassee, FL 32308
Phone (850) 383-1052

National Provider Directory

National Provider Directory

Locations

2808 Remington Green Cir
Ste 100
Tallahassee, FL 32308
Phone (850) 383-1052

Practitioners & affiliated clinicians

Practitioners 1

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1043328024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 N. REMINGTON GREEN CIRCLE",
            "address_2": "SUITE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-383-1052",
            "fax_number": "850-383-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 N. REMINGTON GREEN CIRCLE",
            "address_2": "SUITE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-383-1052",
            "fax_number": "850-383-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NBW, D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TCG DENTAL SPECIALIST, PA",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "850-383-1052",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 0010851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.