Organization Active NPI

Crestwood Family Dental

  • General Practice Dentistry
  • Lakewood Ranch, FL
National Provider Identifier
1174348890
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRESTWOOD FAMILY DENTAL
Practice address
5270 Paylor LN
Lakewood Ranch, FL 34240-2204
Phone
(786) 344-0214
NPI assigned
Nov 18, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Ana P Monzin, DMDNPI 1568814796
Title
Dentist/Manager
Phone
(786) 344-0214

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

5270 Paylor LN
Lakewood Ranch, FL 34240-2204

Mailing address

5270 Paylor LN
Lakewood Ranch, FL 34240-2204
Phone (786) 344-0214

National Provider Directory

National Provider Directory

Locations

5270 Paylor Ln
Lakewood Ranch, FL 34240
Phone (786) 344-0214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1174348890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 PAYLOR LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402204",
            "telephone_number": "786-344-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 PAYLOR LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402204",
            "telephone_number": "786-344-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "MONZIN",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST/MANAGER",
        "authorized_official_telephone_number": "786-344-0214",
        "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": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

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