Organization Active NPI

Marina Pointe Dental PLLC

  • Dental Clinic/Center
  • Panama City, FL
National Provider Identifier
1295501336
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARINA POINTE DENTAL PLLC
Practice address
2407 W 11TH St
Panama City, FL 32401-1634
Phone
(786) 451-0701
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Alejandro Andres Nieves Montalvo, DMDNPI 1265162382
Title
Owner
Phone
(786) 451-0701

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2407 W 11TH St
Panama City, FL 32401-1634

Mailing address

43 Spoonbill Rd
Santa Rosa Beach, FL 32459-6857
Phone (786) 451-0701

National Provider Directory

National Provider Directory

Locations

2407 W 11th St
Panama City, FL 32401
Phone (786) 451-0701

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": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1295501336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SPOONBILL RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596857",
            "telephone_number": "786-451-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011634",
            "telephone_number": "786-451-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA POINTE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "NIEVES MONTALVO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-451-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.