Antonio R. Anisz, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9398 Issued in FL

Practice address

2150 Tamiami TRL Unit 19
Port Charlotte, FL 33948-3106

Phone

(941) 627-6300

Fax

(941) 627-6319

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265565196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 TAMIAMI TRL UNIT 19",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339483106",
            "telephone_number": "941-627-6300",
            "fax_number": "941-627-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TAMIAMI TRL UNIT 19",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339483106",
            "telephone_number": "941-627-6300",
            "fax_number": "941-627-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANISZ",
        "first_name": "ANTONIO",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres E Angel, MD
• Mark Adam Angeloni
• Peter Angelopoulos, MD, MBA
• Gifta Anil
• Melissa Aniskewicz
• Annette Fiedler Counseling
• Annette Fiedler Counseling
• David L Anthony, PHYSICAL THERAPIST
• Jody L Anthony
• Steven Raymond Anthony, D.O.

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.