Organization Active NPI

Two Rivers Family Dental LLC

  • Dental Clinic/Center
  • Bradenton, FL
National Provider Identifier
1245942705
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TWO RIVERS FAMILY DENTAL LLC
Practice address
515 27TH St E Ste 6
Bradenton, FL 34208-1879
Phone
(941) 253-0175
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Andres Alberto, DMDNPI 1164915419
Title
Manager
Phone
(786) 247-4916

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

515 27TH St E Ste 6
Bradenton, FL 34208-1879

Mailing address

5509 69TH PL E
Ellenton, FL 34222-2627
Phone (786) 247-4916

National Provider Directory

National Provider Directory

Locations

515 27th St E
Ste 6
Bradenton, FL 34208
Phone (941) 253-0175

Practitioners & affiliated clinicians

Practitioners 1

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": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1245942705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 69TH PL E",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342222627",
            "telephone_number": "786-247-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 27TH ST E STE 6",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081879",
            "telephone_number": "941-253-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "ALBERTO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-247-4916",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.