Organization Active NPI

Gatordds PA

Doing business as Longboat Key Dental

  • General Practice Dentistry
  • Longboat Key, FL
National Provider Identifier
1306201074
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18506 Issued in FL
Legal business name
GATORDDS PA
Doing business as
Longboat Key Dental
Practice address
595 Bay Isles Rd
Suite 110
Longboat Key, FL 34228-3149
Phone
(941) 383-6400
Fax
(941) 383-6435
NPI assigned
Dec 23, 2015
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Dr. Michael J O'Neil, DDSNPI 1518290329
Title
Owner
Phone
(941) 383-6400

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN18506 FL Primary

Addresses

Primary practice location

595 Bay Isles Rd
Suite 110
Longboat Key, FL 34228-3149

Mailing address

595 Bay Isles Rd
Suite 110
Longboat Key, FL 34228-3149
Phone (941) 383-6400

Other names 1

  • LONGBOAT KEY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

595 Bay Isles Rd
Ste 110
Longboat Key, FL 34228
Phone (941) 383-6400

Practitioners & affiliated clinicians

Practitioners 1

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": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1306201074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BAY ISLES RD",
            "address_2": "SUITE 110",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342283149",
            "telephone_number": "941-383-6400",
            "fax_number": "941-383-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BAY ISLES RD",
            "address_2": "SUITE 110",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342283149",
            "telephone_number": "941-383-6400",
            "fax_number": "941-383-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATORDDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-383-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONGBOAT KEY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longboat Key, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.