Organization Active NPI

Dental Centre of West FL, PA

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1316152192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN-10682 Issued in FL
Legal business name
DENTAL CENTRE OF WEST FL, PA
Practice address
6400 Manatee Ave W
Ste. L
Bradenton, FL 34209-2378
Phone
(941) 795-6535
Fax
(941) 795-7435
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Walker Holmes, DDS
Title
President
Phone
(941) 795-6535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN-10682 FL Primary

Addresses

Primary practice location

6400 Manatee Ave W
Ste. L
Bradenton, FL 34209-2378

Mailing address

6400 Manatee Ave W
Ste. L
Bradenton, FL 34209-2378
Phone (941) 795-6535

National Provider Directory

National Provider Directory
Tax ID family
Dental Centre of West FL PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316152192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W",
            "address_2": "STE. L",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092378",
            "telephone_number": "941-795-6535",
            "fax_number": "941-795-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W",
            "address_2": "STE. L",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092378",
            "telephone_number": "941-795-6535",
            "fax_number": "941-795-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTRE OF WEST FL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-795-6535",
        "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": "DN-10682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.