Organization Active NPI

Italian and Indian Adventures Inc

  • Durable Medical Equipment & Medical Supplies
  • Bradenton, FL
National Provider Identifier
1275799272
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DO1473 Issued in FL
Legal business name
ITALIAN AND INDIAN ADVENTURES INC
Practice address
3611 1St St
Suite 640
Bradenton, FL 34208-4400
Phone
(941) 747-5567
Fax
(941) 748-0761
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mr. Dennis Capozella, L.D.O.
Title
President
Phone
(941) 747-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DO1473 FL Primary

Addresses

Primary practice location

3611 1St St
Suite 640
Bradenton, FL 34208-4400

Mailing address

3611 1St St
Suite 640
Bradenton, FL 34208-4400
Phone (941) 747-5567

Other identifiers 1

IdentifierTypeStateIssuer
D6744OtherFLBCBS OF FLORIDA

Other names 1

  • desoto vision center Doing business as

National Provider Directory

National Provider Directory

Locations

3611 1st St E
Ste 640
Bradenton, FL 34208
Phone (941) 747-5567

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1275799272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 1ST ST",
            "address_2": "SUITE 640",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084400",
            "telephone_number": "941-747-5567",
            "fax_number": "941-748-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 1ST ST",
            "address_2": "SUITE 640",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084400",
            "telephone_number": "941-747-5567",
            "fax_number": "941-748-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITALIAN AND INDIAN ADVENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "CAPOZELLA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-747-5567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DO1473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "D6744",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "desoto vision center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.