Organization Active NPI

Chrysalis Cosmetic & Restorative Dentistry, LLC

  • Dental Clinic/Center
  • Odessa, FL
National Provider Identifier
1134969017
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHRYSALIS COSMETIC & RESTORATIVE DENTISTRY, LLC
Practice address
2252 Gunn Highway
Odessa, FL 33556
Phone
(813) 343-0713
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Authorized official

Name
Dr. Carolyn Norton, DMDNPI 1114339835
Title
Owner Dentist
Phone
(813) 343-0713

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2252 Gunn Highway
Odessa, FL 33556

Mailing address

2252 Gunn Highway
Odessa, FL 33556
Phone (813) 343-0713

National Provider Directory

National Provider Directory

Locations

2252 Gunn Hwy
Odessa, FL 33556
Phone (813) 343-0713

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": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717891200000",
    "number": "1134969017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 GUNN HIGHWAY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "33556",
            "telephone_number": "813-343-0713",
            "fax_number": "813-343-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 GUNN HIGHWAY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "33556",
            "telephone_number": "813-343-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COSMETIC & RESTORATIVE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "813-343-0713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.