Organization Active NPI

Oldsmar Dental, PLLC

Doing business as Oldsmar Dentistry

  • Dentist
  • Oldsmar, FL
National Provider Identifier
1245772078
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18371 Issued in FL
Legal business name
OLDSMAR DENTAL, PLLC
Doing business as
Oldsmar Dentistry
Practice address
4050 Tampa Rd
Oldsmar, FL 34677-3205
Phone
(813) 855-4269
Fax
(813) 855-4277
NPI assigned
Nov 10, 2016
Last updated
Nov 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Dr. Lori Elizabeth Burchell, DMDNPI 1467615948
Title
Doctor/Owner
Phone
(813) 855-4269

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
Dentist 122300000X DN8894 FL
Dentist 122300000X DN18371 FL Primary

Addresses

Primary practice location

4050 Tampa Rd
Oldsmar, FL 34677-3205

Mailing address

4050 Tampa Rd
Oldsmar, FL 34677-3205
Phone (813) 855-4269

Other names 1

  • Oldsmar Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4050 Tampa Rd
Oldsmar, FL 34677
Phone (813) 854-2308

Practitioners & affiliated clinicians

Practitioners 2

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": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1245772078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773205",
            "telephone_number": "813-855-4269",
            "fax_number": "813-855-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773205",
            "telephone_number": "813-855-4269",
            "fax_number": "813-855-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDSMAR DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BURCHELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "813-855-4269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8894",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oldsmar Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.