Active NPI
Contemporary Dental PLLC
Doing business as Siesta Village Dentistry
- Dental Clinic/Center
- Siesta Key, FL
National Provider Identifier
1306459441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CONTEMPORARY DENTAL PLLC
- Doing business as
- Siesta Village Dentistry
- Practice address
- 5136 Ocean Blvd
Siesta Key, FL 34242-1637 - Phone
- (646) 263-2980
- NPI assigned
- Aug 28, 2020
- Last updated
- Aug 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael O Lyons
- Title
- Cio
- Phone
- (646) 263-2980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5136 Ocean Blvd
Siesta Key, FL 34242-1637
Mailing address
5812 Valente PL
Sarasota, FL 34238-1706
Phone (941) 302-7778
Other names 1
- Siesta Village Dentistry
National Provider Directory
National Provider DirectoryLocations
5136 Ocean Blvd
Siesta Key, FL 34242
Phone (646) 263-2980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598572800000",
"number": "1306459441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5812 VALENTE PL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342381706",
"telephone_number": "941-302-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5136 OCEAN BLVD",
"city": "SIESTA KEY",
"state": "FL",
"postal_code": "342421637",
"telephone_number": "646-263-2980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTEMPORARY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-07-28",
"status": "A",
"authorized_official_last_name": "LYONS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CIO",
"authorized_official_telephone_number": "646-263-2980",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Siesta Village Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Siesta Key, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.