NPIMap

Organization Active NPI

Marco Dental Care, PA

  • Dentist
  • Marco Island, FL
National Provider Identifier
1053656264
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15395 Issued in FL
Legal business name
MARCO DENTAL CARE, PA
Practice address
950 N Collier Blvd
Suite 305
Marco Island, FL 34145-2725
Phone
(239) 389-9400
Fax
(239) 389-4999
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. Frederick Joseph Eck, DDS
Title
Owner
Phone
(239) 777-8664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN15395 FL Primary

Addresses

Primary practice location

950 N Collier Blvd
Suite 305
Marco Island, FL 34145-2725

Mailing address

950 N Collier Blvd
Suite 305
Marco Island, FL 34145-2725
Phone (239) 389-9400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1053656264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD",
            "address_2": "SUITE 305",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-389-9400",
            "fax_number": "239-389-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD",
            "address_2": "SUITE 305",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-389-9400",
            "fax_number": "239-389-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "ECK",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-777-8664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.