Edgar L Pichardo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

16047 Issued in FL

Practice address

2231 Hwy 44
Unit 101
Inverness, FL 34453

Phone

(352) 726-5854

Fax

(352) 726-6893

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Citrus Dental of Inverness, P.a.

  • General Practice Dentistry
  • Inverness, FL
  • NPI 1164712881
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1346349461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 HWY 44 W",
            "address_2": "UNIT 101",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34453",
            "telephone_number": "362-726-5854",
            "fax_number": "352-726-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 HWY 44",
            "address_2": "UNIT 101",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34453",
            "telephone_number": "352-726-5854",
            "fax_number": "352-726-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "EDGAR",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16047",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "16047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne A Phillip
• Megan Phillips, OTR/L
• Diane H. Phinney, LCSW
• Phoenix Emergency Services of Inverness LLC
• Physician Providers Group PA
• David W Powers, MD
• Faith J Powers, PSY.D.
• Grant B Powers
• Charles Alexander Prentice, MD
• Seychelle Prentice, PA-C

• Dentist in Inverness, FL
• Providers in Inverness, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.