Ronald Gene List, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

DN19390 Issued in FL

Practice address

1460 Baytree Dr NE
Palm Bay, FL 32905-3900

Phone

(321) 914-0915

Fax

(321) 914-0916

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17680/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indian River Volunteers in Medicine

  dba Space Coast Volunteers in Medicine

  • Primary Care Clinic/Center
  • Viera, FL
  • NPI 1467712695
  NPD (past)

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1174803340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BAYTREE DR",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-914-0915",
            "fax_number": "321-914-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BAYTREE DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053900",
            "telephone_number": "321-914-0915",
            "fax_number": "321-914-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "RONALD",
        "middle_name": "GENE",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Xuan Lim
• Julie Marie Lincicome, RN
• Linda D. Binda, D.C., P.a. (Binda Chiropractic Clinic)
• Ebony Lynell Lindo, ITDS
• Katie Helen Linton, PHARM.D.
• Load N Dash Inc
• Jason L Lockridge, M.D.
• Pamela Anne Loftus
• Shannon Logan
• Carissa Long, HOME HEALTH

• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.