NPIMap

Organization Active NPI

Family & Cosmetic Dentistry

  • Dentist
  • Cape Coral, FL
National Provider Identifier
1144629031
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13901 Issued in FL
Legal business name
FAMILY & COSMETIC DENTISTRY
Practice address
331 Cape Coral Pkwy W
Suite a
Cape Coral, FL 33914-5977
Phone
(239) 540-2020
Fax
(239) 540-8293
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Brett A Vartdal, DMDNPI 1912089657
Title
President
Phone
(239) 540-2020

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN13901 FL Primary

Addresses

Primary practice location

331 Cape Coral Pkwy W
Suite a
Cape Coral, FL 33914-5977

Mailing address

331 Cape Coral Pkwy W
Suite a
Cape Coral, FL 33914-5977
Phone (239) 540-2020

Other identifiers 2

IdentifierTypeStateIssuer
1366686677OtherFLNPI
1912089657OtherNPI

Other names 1

  • Brett Vartdal Doing business as

National Provider Directory

National Provider Directory

Locations

331 Cape Coral Pkwy W
Ste A
Cape Coral, FL 33914
Phone (239) 540-2020

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": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1144629031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CAPE CORAL PKWY W",
            "address_2": "SUITE A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145977",
            "telephone_number": "239-540-2020",
            "fax_number": "239-540-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 CAPE CORAL PKWY W",
            "address_2": "SUITE A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145977",
            "telephone_number": "239-540-2020",
            "fax_number": "239-540-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "VARTDAL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-540-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366686677",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912089657",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brett Vartdal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.