Emerald Coast Dental Sleep Medicine Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DN17668 Issued in FL

Legal business name

EMERALD COAST DENTAL SLEEP MEDICINE INC

Practice address

900 Thomas Dr
Panama City Beach, FL 32408-7442

Phone

(850) 249-9331

Fax

(850) 249-9332

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tara M Griffin, DMDNPI 1205084704

Title

Ceo

Phone

(850) 249-9311

Specialties & licenses 2

Addresses

Practitioners 2

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

• Tara M Griffin, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1205084704
  NPD Authorized official
• Carlton S. Schwartz Jr., D.D.S.

  • General Practice Dentistry
  • Panama City Beach, FL
  • NPI 1619023413
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1366716490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087442",
            "telephone_number": "850-249-9331",
            "fax_number": "850-249-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087442",
            "telephone_number": "850-249-9331",
            "fax_number": "850-249-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST DENTAL SLEEP MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-249-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "DN17668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Nicole Elhannaoui
• Eric D Ellington, DPT
• Barbara Ellis-Woroch, PHD
• Haley Ellison
• Ahmed Elzeny
• Emerald Coast Dental Spa
• Emerald Coast Family Medicine
• Emerald Coast Family Medicine
• Emerald Coast Optometry Associates, PA
• Roberta Andreea Enisor, PA

• Customized Equipment (DME) in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Customized Equipment (DME) in Florida

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