NPIMap

Organization Active NPI

Gaeta Dental Health Professionals, PA

Doing business as Gaeta Dental - Hillview

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1275716458
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GAETA DENTAL HEALTH PROFESSIONALS, PA
Doing business as
Gaeta Dental - Hillview
Practice address
1865 Hillview St
Sarasota, FL 34239-3606
Phone
(941) 365-4500
Fax
(941) 365-5788
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
GAETA DENTAL HEALTH PROFESSIONALS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Amy Kroeger
Title
Ins Coord
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1865 Hillview St
Sarasota, FL 34239-3606

Mailing address

1865 Hillview St
Sarasota, FL 34239-3606
Phone (941) 365-4500

Other names 1

  • Gaeta Dental - Hillview Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gaeta Dental Health Professionals PA2 organizations share this tax ID, including this one
Part of
Gaeta Dental Health Professionals PA

Other organizations with this tax ID 1

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

Locations

1865 Hillview St
Sarasota, FL 34239
Phone (941) 365-4500

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 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1275716458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 HILLVIEW ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393606",
            "telephone_number": "941-365-4500",
            "fax_number": "941-365-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HILLVIEW ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393606",
            "telephone_number": "941-365-4500",
            "fax_number": "941-365-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAETA DENTAL HEALTH PROFESSIONALS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAETA DENTAL HEALTH PROFESSIONALS, PA",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COORD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaeta Dental - Hillview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.