Organization Active NPI

South Bradenton Dental Care

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1134860760
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTH BRADENTON DENTAL CARE
Practice address
4705 26TH St W
Bradenton, FL 34207-1716
Phone
(941) 899-0067
Fax
(941) 216-7790
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
John Plumley, DMDNPI 1801145636
Title
Doctor/Owner
Phone
(727) 258-1527

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4705 26TH St W
Bradenton, FL 34207-1716

Mailing address

4705 26TH St W
Bradenton, FL 34207-1716
Phone (941) 899-0067

Other names 1

  • South Bradenton Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4705 26th St W
Bradenton, FL 34207
Phone (941) 758-8884

Practitioners & affiliated clinicians

Practitioners 2

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": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1134860760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071716",
            "telephone_number": "941-899-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071716",
            "telephone_number": "941-899-0067",
            "fax_number": "941-216-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BRADENTON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "PLUMLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "727-258-1527",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bradenton Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 6, 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.