Organization Active NPI

Panhandle Dental Care, PA

  • General Practice Dentistry
  • Panama City, FL
National Provider Identifier
1366502999
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PANHANDLE DENTAL CARE, PA
Practice address
516 N Macarthur Ave
Panama City, FL 32401-3636
Phone
(850) 763-5817
Fax
(850) 763-0733
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. William Linxwiler Ott, DMDNPI 1083617757
Title
President
Phone
(850) 763-5817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

516 N Macarthur Ave
Panama City, FL 32401-3636

Mailing address

516 N Macarthur Ave
Panama City, FL 32401-3636
Phone (850) 763-5817

National Provider Directory

National Provider Directory

Locations

516 N MacArthur Ave
Panama City, FL 32401
Phone (850) 763-5817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1366502999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N MACARTHUR AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013636",
            "telephone_number": "850-763-5817",
            "fax_number": "850-763-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N MACARTHUR AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013636",
            "telephone_number": "850-763-5817",
            "fax_number": "850-763-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LINXWILER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-5817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 14, 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.