NPIMap

Organization Active NPI

Syd Associates, PA

  • Dental Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1073998464
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN11997 Issued in FL
Legal business name
SYD ASSOCIATES, PA
Practice address
10696 SW Village Pkwy
Port Saint Lucie, FL 34987-2358
Phone
(772) 380-4490
Fax
(772) 380-4493
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Thomas Hickey, DMD
Title
President
Phone
(772) 359-8962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN11997 FL Primary

Addresses

Primary practice location

10696 SW Village Pkwy
Port Saint Lucie, FL 34987-2358

Mailing address

PO Box 8359
Port Saint Lucie, FL 34985-8359
Phone (772) 380-4490

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1073998464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8359",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349858359",
            "telephone_number": "772-380-4490",
            "fax_number": "772-380-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 SW VILLAGE PKWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872358",
            "telephone_number": "772-380-4490",
            "fax_number": "772-380-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYD ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-359-8962",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN11997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.