Individual provider Active NPI

Christopher Chiaramonte, DDS, DDS

  • Dentist
  • Brandon, FL
National Provider Identifier
1366859738
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20773 Issued in FL
Practice address
1409 W Brandon Blvd
Brandon, FL 33511-4803
Phone
(813) 681-7183
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20773 FL Primary

Addresses

Primary practice location

1409 W Brandon Blvd
Brandon, FL 33511-4803

Mailing address

1409 W Brandon Blvd
Brandon, FL 33511-4803
Phone (813) 681-7183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN20773FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Raulerson, Ruscin & Schreier Dental Associates, PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1366859738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114803",
            "telephone_number": "813-681-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114803",
            "telephone_number": "813-681-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARAMONTE, DDS",
        "first_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.