Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0012305 Issued in FL

Legal business name

ENDODONTICS

Practice address

609 N Charles Richard Beall Blvd Ste 105
Debary, FL 32713-2218

Phone

(386) 775-2025

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edward Degrood

Title

Owner

Phone

(386) 775-2025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114025236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N CHARLES RICHARD BEALL BLVD STE 105",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132218",
            "telephone_number": "386-775-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N CHARLES RICHARD BEALL BLVD STE 105",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132218",
            "telephone_number": "386-775-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGROOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-775-2025",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "0012305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alireza Ebneshahidi, MD
• Hamidreza Ebneshahidi, MD
• Edwards Family Health PA
• Casey El Sesy, PTA
• Elevation Health Debary, LLC
• Monica Escobar, LMHC
• Janna Katherine Espaillat Ruiz
• Christina G Etchison, PHD, CCC-SLP
• Family Wellness Counseling LLC
• Parinaz Fard-Aghaie, RMHI - IMH

• Endodontics in Debary, FL
• Providers in Debary, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.