NPIMap

Organization Active NPI

Sean M Gassett, D.MD., P.a.

  • General Practice Dentistry
  • Apollo Beach, FL
National Provider Identifier
1275702953
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15656 Issued in FL
Legal business name
SEAN M GASSETT, D.MD., P.A.
Doing business as
Apollo Beach Dental Excellence
Practice address
433 Apollo Beach Blvd
Apollo Beach, FL 33572-2281
Phone
(813) 341-0102
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Sean GassettNPI 1518049345
Title
President
Phone
(813) 341-0102

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN15656 FL Primary

Addresses

Primary practice location

433 Apollo Beach Blvd
Apollo Beach, FL 33572-2281

Mailing address

433 Apollo Beach Blvd
Apollo Beach, FL 33572-2281
Phone (813) 341-0102

Other names 1

  • Apollo Beach Dental Excellence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190404000707 FL DME Supplier - Oral Surgery - Dentist 5092056804 Practice locations: Apollo Beach, FL

National Provider Directory

National Provider Directory

Locations

433 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 341-0102

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1275702953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 APOLLO BEACH BLVD",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722281",
            "telephone_number": "813-341-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 APOLLO BEACH BLVD",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722281",
            "telephone_number": "813-341-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN M GASSETT, D.MD., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GASSETT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-341-0102",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Beach Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.