Active NPI
James A. Egan, D.D.S.
- General Practice Dentistry
- Venice, FL
National Provider Identifier
1285774877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16158
- Practice address
- 333 Tamiami TRL S
Suite 383
Venice, FL 34285-2402 - Phone
- (941) 480-0900
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16158 | FL | Primary |
Addresses
Primary practice location
333 Tamiami TRL S
Suite 383
Venice, FL 34285-2402
Mailing address
5109 Magnolia Pond Dr
Sarasota, FL 34233-3277
Phone (941) 925-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16158 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285774877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 MAGNOLIA POND DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342333277",
"telephone_number": "941-925-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 TAMIAMI TRL S",
"address_2": "SUITE 383",
"city": "VENICE",
"state": "FL",
"postal_code": "342852402",
"telephone_number": "941-480-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "JAMES",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "16158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.