NPIMap

Individual provider Active NPI

David C Sundeen, D.D.S.

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1326181744
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 10649 Issued in FL
Practice address
6501 Drewrys BLF
Bradenton, FL 34203-7861
Phone
(941) 228-7788
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 10649 FL Primary

Addresses

Primary practice location

6501 Drewrys BLF
Bradenton, FL 34203-7861

Mailing address

6501 Drewrys BLF
Bradenton, FL 34203-7861
Phone (941) 228-7788

Other practice location 1

943 S Beneva Rd Ste 310
Sarasota, FL 34232-2473
Phone (941) 957-3703

Other practice location 2

1612 53rd Ave E
Bradenton, FL 34203-4252
Phone (941) 758-3999

Other practice location 3

1505 S McCall Rd
Englewood, FL 34223-4876
Phone (941) 474-2664

Other practice location 4

1810 S Tuttle Ave
Sarasota, FL 34239-3112
Phone (941) 953-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 10649FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Contracted Services PA CurrentSince Oct 11, 2020 Accepting new patients
Gloriawood, Inc General Practice Past Accepting new patients
Kingswaydentalcare Inc. General Practice Past Accepting new patients
Lemon Bay Dental Care PA Past Accepting new patients
Andrew J. Martineau DMD PA General Practice Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1326181744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 DREWRYS BLF",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037861",
            "telephone_number": "941-228-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 DREWRYS BLF",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037861",
            "telephone_number": "941-228-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 S Beneva Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342322473",
            "country_code": "US",
            "telephone_number": "941-957-3703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1612 53rd Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342034252",
            "country_code": "US",
            "telephone_number": "941-758-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 S McCall Rd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342234876",
            "country_code": "US",
            "telephone_number": "941-474-2664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 S Tuttle Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393112",
            "country_code": "US",
            "telephone_number": "941-953-2320",
            "fax_number": "941-953-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDEEN",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10649",
            "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 Sep 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.

Verify at the official NPI Registry.