NPIMap

Organization Active NPI

Daytona Endodontics PLLC

  • Endodontics
  • South Daytona, FL
National Provider Identifier
1114637055
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DAYTONA ENDODONTICS PLLC
Practice address
911 Beville Rd Ste 2
South Daytona, FL 32119-1726
Phone
(386) 236-8793
Fax
(286) 603-6014
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Monique Belin, DMDNPI 1467966192
Title
Owner
Phone
(410) 253-9963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

911 Beville Rd Ste 2
South Daytona, FL 32119-1726

Mailing address

911 Beville Rd Ste 2
South Daytona, FL 32119-1726
Phone (386) 236-8793

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1114637055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BEVILLE RD STE 2",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191726",
            "telephone_number": "386-236-8793",
            "fax_number": "386-603-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BEVILLE RD STE 2",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191726",
            "telephone_number": "386-236-8793",
            "fax_number": "286-603-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTONA ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "BELIN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-253-9963",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.