NPIMap

Organization Active NPI

Panama City Dental Studio

  • Dental Clinic/Center
  • Panama City, FL
National Provider Identifier
1356632715
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8608 Issued in FL
Legal business name
PANAMA CITY DENTAL STUDIO
Practice address
2410 Saint Andrews Blvd Ste C
Panama City, FL 32405-2135
Phone
(850) 784-0700
Fax
(850) 784-0903
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Herbert Salisbury, D.M.D.
Title
Dentist
Phone
(850) 784-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8608 FL Primary

Addresses

Primary practice location

2410 Saint Andrews Blvd Ste C
Panama City, FL 32405-2135

Mailing address

2410 Saint Andrews Blvd Ste C
Panama City, FL 32405-2135
Phone (850) 784-0700

Other identifiers 1

IdentifierTypeStateIssuer
1396810024OtherFL087

National Provider Directory

National Provider Directory
Tax ID family
Herb G Salisbury 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": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1356632715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAINT ANDREWS BLVD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052135",
            "telephone_number": "850-784-0700",
            "fax_number": "850-784-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAINT ANDREWS BLVD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052135",
            "telephone_number": "850-784-0700",
            "fax_number": "850-784-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA CITY DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "SALISBURY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "850-784-0700",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "8608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "087",
            "identifier": "1396810024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.