Active NPI
CDPG, P.L.
Doing business as Christie Dental of Merritt Island
- General Practice Dentistry
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CDPG, P.L.
- Doing business as
- Christie Dental of Merritt Island
- Practice address
- 775 E Merritt Island Cswy Ste 220
Merritt Island, FL 32952-3311 - Phone
- (321) 453-0696
- NPI assigned
- Jan 4, 2022
- Last updated
- Jan 4, 2022
- Organization subpart
- Yes
- Parent organization
- CDPG, P.L.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Celia Hayes
- Title
- Credentialing Coordinator
- Phone
- (217) 540-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
775 E Merritt Island Cswy Ste 220
Merritt Island, FL 32952-3311
Mailing address
775 E Merritt Island Cswy Ste 220
Merritt Island, FL 32952-3311
Phone (321) 453-0696
Other names 1
- Christie Dental of Merritt Island
National Provider Directory
National Provider Directory- Tax ID family
- Christie Dental Practice Group
- Part of
- Christie Dental Practice Group
Other organizations with this tax ID 15
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Christie Dental of Meadowcrest
- General Practice Dentistry
- Crystal River, FL
- NPI 1174284947
-
dba Christie Dental of Indian Harbour Beach
- General Practice Dentistry
- Indian Harbour Beach, FL
- NPI 1639830490
Locations
775 E Merritt Island Cswy
Ste 220
Merritt Island, FL 32952
Phone (321) 453-0696
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Merritt Island, FL
- NPI 1932110350
-
- Dentist
- Merritt Island, FL
- NPI 1255823076
-
- General Practice Dentistry
- Merritt Island, FL
- NPI 1003827569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641254400000",
"number": "1245991017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 E MERRITT ISLAND CSWY STE 220",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329523311",
"telephone_number": "321-453-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 E MERRITT ISLAND CSWY STE 220",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329523311",
"telephone_number": "321-453-0696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CDPG, P.L.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CDPG, P.L.",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "CELIA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "217-540-2100"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Christie Dental of Merritt Island",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Merritt Island, FL
- Suzanne Marie Carson, LMT
- Jennifer Carter, M.A., CCC-SLP
- Lisa Cassiere, COTA/L
- Ryan Lee Caudill, DMD, MSD, PA
- Kimberlee Ann Cavanaugh, ARNP-C
- Cedar Creek Assisted Living LLC
- Central Florida Holistic Health and Wellness Consultants LLC (Healthy Healing Acupuncture)
- Certified Diabetic & Medical Services, Inc (Certified Diabetic & Medical Supplies)
- Jean M Cervini-Koby, ARNP-FNP-C
- Amber Diane Chambers, APRN CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.