Organization Active NPI

Dr. Michael F. Battle, PLLC

  • Dentist
  • St. Petersburg, FL
National Provider Identifier
1366674749
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. MICHAEL F. BATTLE, PLLC
Practice address
1955 1St Ave N Ste 101
St. Petersburg, FL 33713
Phone
(727) 327-5561
Fax
(727) 289-2836
NPI assigned
Aug 18, 2009
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Dr. Michael Floyd Battle, DDS
Title
Owner
Phone
(727) 327-5561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

1955 1St Ave N Ste 101
St. Petersburg, FL 33713

Mailing address

1955 1St Ave N Ste 101
St. Petersburg, FL 33713
Phone (727) 327-5561

Other identifiers 1

IdentifierTypeStateIssuer
5909675MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Dr Michael F Battle PLLC2 organizations share this tax ID, including this one
Part of
Dr Michael F Battle PLLC

Other organizations with this tax ID 1

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

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": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1366674749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE N STE 101",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-327-5561",
            "fax_number": "727-289-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE N STE 101",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-327-5561",
            "fax_number": "727-289-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL F. BATTLE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2009-08-18",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-327-5561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909675",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.