Organization Active NPI

Gurley Dental Group PL

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1083912539
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10826 Issued in FL
Legal business name
GURLEY DENTAL GROUP PL
Practice address
12425 N Florida Ave
Tampa, FL 33612-4201
Phone
(813) 935-9414
Fax
(813) 935-5631
NPI assigned
Mar 8, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
John Rende
Title
Dentist/Owner
Phone
(813) 935-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10826 FL Primary

Addresses

Primary practice location

12425 N Florida Ave
Tampa, FL 33612-4201

Mailing address

12425 N Florida Ave
Tampa, FL 33612-4201
Phone (813) 935-5631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1083912539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124201",
            "telephone_number": "813-935-5631",
            "fax_number": "813-935-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124201",
            "telephone_number": "813-935-9414",
            "fax_number": "813-935-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURLEY DENTAL GROUP PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "RENDE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "813-935-9414"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.