Organization Active NPI

SRQ Group, Inc

Doing business as srqDENTISTRY

  • Dentist
  • Sarasota, FL
National Provider Identifier
1285970335
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12904 Issued in FL
Legal business name
SRQ GROUP, INC
Doing business as
srqDENTISTRY
Practice address
1878 Stickney Point Rd
Sarasota, FL 34231-8847
Phone
(941) 966-4414
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Susan Gilleland
Title
President
Phone
(941) 966-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12904 FL Primary

Addresses

Primary practice location

1878 Stickney Point Rd
Sarasota, FL 34231-8847

Mailing address

1878 Stickney Point Rd
Sarasota, FL 34231-8847
Phone (941) 966-4414

Other names 1

  • srqDENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

1878 Stickney Point Rd
Sarasota, FL 34231
Phone (941) 952-3476

Practitioners & affiliated clinicians

Practitioners 1

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": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1285970335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 STICKNEY POINT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318847",
            "telephone_number": "941-966-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 STICKNEY POINT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318847",
            "telephone_number": "941-966-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRQ GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "GILLELAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-966-4414"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "12904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "srqDENTISTRY",
            "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 18, 2012; 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.