NPIMap

Organization Active NPI

Florida Keys Area Health Education Center, Inc.

  • General Practice Dentistry
  • Marathon, FL
National Provider Identifier
1063178002
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FLORIDA KEYS AREA HEALTH EDUCATION CENTER, INC.
Practice address
5800 Overseas Hwy Ste 38
Marathon, FL 33050-2744
Phone
(305) 743-7111
Fax
(305) 743-7709
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Michael Cunningham
Title
Ceo
Phone
(130) 579-7394

Specialties & licenses 1

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

Addresses

Primary practice location

5800 Overseas Hwy Ste 38
Marathon, FL 33050-2744

Mailing address

5800 Overseas Hwy Ste 38
Marathon, FL 33050-2744
Phone (305) 743-7111

Other identifiers 1

IdentifierTypeStateIssuer
844222MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael@keysahec.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Florida Keys Area Health Education2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5800 Overseas Hwy
Ste 38
Marathon, FL 33050
Phone (305) 743-7111

Practitioners & affiliated clinicians

Practitioners 6

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": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1063178002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY STE 38",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502744",
            "telephone_number": "305-743-7111",
            "fax_number": "305-743-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY STE 38",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502744",
            "telephone_number": "305-743-7111",
            "fax_number": "305-743-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KEYS AREA HEALTH EDUCATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "130-579-7394"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844222",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@keysahec.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5800 Overseas Hwy Ste 38",
            "city": "Marathon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330502744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.