Individual provider Active NPI

Maurice Irvin Healey I

  • Dentist
  • Bradenton, FL
National Provider Identifier
1104063585
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0012712 Issued in FL
Practice address
5215 Manatee Ave W
Bradenton, FL 34209-3742
Phone
(941) 792-7887
NPI assigned
Jan 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN0012712 FL Primary

Addresses

Primary practice location

5215 Manatee Ave W
Bradenton, FL 34209-3742

Mailing address

2189 Cleveland St.
Suite 252
Clearwater, FL 33765-3243
Phone (727) 461-9149

Other names 1

  • Dr. Maurice Irvin Healey I Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN0012712FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
FL Dental Centers PLLC Dentist PastSince Sep 11, 2022 Accepting new patients
Florida Dental Centers Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1104063585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 CLEVELAND ST.",
            "address_2": "SUITE 252",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653243",
            "telephone_number": "727-461-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093742",
            "telephone_number": "941-792-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "MAURICE",
        "middle_name": "IRVIN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURICE",
            "last_name": "HEALEY",
            "middle_name": "IRVIN",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "DENTIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.