Organization Active NPI

Cara Overbeck DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Venice, FL
National Provider Identifier
1225146236
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN 10080 Issued in FL
Legal business name
CARA OVERBECK DDS PA
Practice address
1040 E Venice Ave
Venice, FL 34285-7162
Phone
(941) 488-8788
Fax
(941) 488-5788
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Cara Overbeck, D.D.S.NPI 1326156324
Title
President
Phone
(941) 488-8788

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN 10080 FL Primary

Addresses

Primary practice location

1040 E Venice Ave
Venice, FL 34285-7162

Mailing address

1040 E Venice Ave
Venice, FL 34285-7162
Phone (941) 488-8788

National Provider Directory

National Provider Directory

Locations

900 Pine St
Ste 121
Englewood, FL 34223
Phone (941) 475-0843

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1225146236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857162",
            "telephone_number": "941-488-8788",
            "fax_number": "941-488-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857162",
            "telephone_number": "941-488-8788",
            "fax_number": "941-488-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARA OVERBECK DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "OVERBECK",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-488-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.