Organization Active NPI

Elite Endodontics

  • Endodontics
  • Pensacola, FL
National Provider Identifier
1275163099
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ELITE ENDODONTICS
Practice address
5016 Grande Dr Ste 101
Pensacola, FL 32504-8991
Phone
(850) 696-0820
Fax
(850) 696-0458
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Steven Joshua Todd, DMDNPI 1891957197
Title
Owner
Phone
(850) 696-0820

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5016 Grande Dr Ste 101
Pensacola, FL 32504-8991

Mailing address

5016 Grande Dr Ste 101
Pensacola, FL 32504-8991
Phone (850) 696-0820

National Provider Directory

National Provider Directory

Locations

5016 Grande Dr
Ste 101
Pensacola, FL 32504
Phone (850) 696-0820

6111 N Davis Hwy
Ste B
Pensacola, FL 32504
Phone (850) 474-0565

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1275163099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 GRANDE DR STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048991",
            "telephone_number": "850-696-0820",
            "fax_number": "850-696-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 GRANDE DR STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048991",
            "telephone_number": "850-696-0820",
            "fax_number": "850-696-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-696-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.