Organization Active NPI

Sean Rankin, DMD

  • Dentist
  • Port Saint Lucie, FL
National Provider Identifier
1124314810
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SEAN RANKIN, DMD
Practice address
499 NW Prima Vista Blvd
107
Port Saint Lucie, FL 34983-8786
Phone
(772) 336-1500
Fax
(772) 336-6802
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Sean Robert Rankin, DMD
Title
Owner
Phone
(772) 336-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X FL Primary

Addresses

Primary practice location

499 NW Prima Vista Blvd
107
Port Saint Lucie, FL 34983-8786

Mailing address

499 NW Prima Vista Blvd
#107
Port St Lucie, FL 34983-8786
Phone (772) 336-1500

Other names 1

  • All Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1124314810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW PRIMA VISTA BLVD",
            "address_2": "#107",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838786",
            "telephone_number": "772-336-1500",
            "fax_number": "772-336-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW PRIMA VISTA BLVD",
            "address_2": "107",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838786",
            "telephone_number": "772-336-1500",
            "fax_number": "772-336-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN RANKIN, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-336-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 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.