Organization Active NPI

Peter Tsambazis DMD, Inc

  • Dentist
  • Naples, FL
National Provider Identifier
1194322651
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PETER TSAMBAZIS DMD, INC
Practice address
6654 Collier Blvd Unit 104
Naples, FL 34114-8179
Phone
(917) 692-3160
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Dr. Peter Tsambazis, DMDNPI 1366590051
Title
President
Phone
(917) 692-3160

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

6654 Collier Blvd Unit 104
Naples, FL 34114-8179

Mailing address

26670 Rosewood Pointe Cir Unit 102
Bonita Springs, FL 34135-7534
Phone (917) 692-3160

Other names 2

  • Advanced Dental of Jersey City LLC Doing business as
  • Marsh Cove Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6654 Collier Blvd
Unit 104
Naples, FL 34114
Phone (239) 331-3575

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": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1194322651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26670 ROSEWOOD POINTE CIR UNIT 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357534",
            "telephone_number": "917-692-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 COLLIER BLVD UNIT 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148179",
            "telephone_number": "917-692-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER TSAMBAZIS DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "TSAMBAZIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-692-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental of Jersey City LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marsh Cove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.