NPIMap

Organization Active NPI

Faculty Associates, Inc

  • General Practice Dentistry
  • Seminole, FL
National Provider Identifier
1255379004
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FACULTY ASSOCIATES, INC
Practice address
9200 113TH St
Seminole, FL 33772-2800
Phone
(727) 394-6040
NPI assigned
Jun 3, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Dr. Ana Isabel Garcia, DDS
Title
Dean
Phone
(352) 273-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

9200 113TH St
Seminole, FL 33772-2800

Mailing address

PO Box 100425
1600 SW Archer Road, D4-6
Gainesville, FL 32610-0425
Phone (352) 273-5800

Other identifiers 1

IdentifierTypeStateIssuer
073969303MedicaidFL

Other names 1

  • FACULTY ASSOCIATES, ST PETE CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Faculty Associates Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1255379004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100425",
            "address_2": "1600 SW ARCHER ROAD, D4-6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100425",
            "telephone_number": "352-273-5800",
            "fax_number": "352-392-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722800",
            "telephone_number": "727-394-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "352-273-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073969303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FACULTY ASSOCIATES, ST PETE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

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