NPIMap

Organization Active NPI

Pediatric Dentistry of Port Charlotte

  • Pediatric Dentistry
  • Port Charlotte, FL
National Provider Identifier
1235561515
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY OF PORT CHARLOTTE
Practice address
3872 Tamiami TRL
Units D and E
Port Charlotte, FL 33952-8463
Phone
(941) 391-8090
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Miguel Argumosa, DMD
Title
Pediatric Dentist/Member
Phone
(941) 391-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3872 Tamiami TRL
Units D and E
Port Charlotte, FL 33952-8463

Mailing address

3872 Tamiami TRL
Units D and E
Port Charlotte, FL 33952-8463
Phone (941) 391-8090

National Provider Directory

National Provider Directory

Locations

3872 Tamiami Trl
Ste D
Port Charlotte, FL 33952
Phone (941) 391-8090

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": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1235561515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 TAMIAMI TRL",
            "address_2": "UNITS D AND E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528463",
            "telephone_number": "941-391-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 TAMIAMI TRL",
            "address_2": "UNITS D AND E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528463",
            "telephone_number": "941-391-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF PORT CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "ARGUMOSA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/MEMBER",
        "authorized_official_telephone_number": "941-391-8090",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.