NPIMap

Organization Active NPI

Dental Implant Specialists of Florida, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakeland, FL
National Provider Identifier
1376238469
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DENTAL IMPLANT SPECIALISTS OF FLORIDA, PA
Practice address
2150 Harden Blvd
Lakeland, FL 33803-5917
Phone
(863) 665-8878
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
David KirkpatrickNPI 1346309747
Title
Owner Dentist
Phone
(904) 536-6550

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2150 Harden Blvd
Lakeland, FL 33803-5917

Mailing address

3500 Maple Ave Ste 1600
Dallas, TX 75219-3936

Other practice location 1

3735 W Neptune St
Tampa, FL 33629-5118
Phone (813) 295-7815

Other practice location 2

1503 Buenos Aires Blvd Ste 190
Lady Lake, FL 32159-6822
Phone (352) 430-2100

Other practice location 3

5212 E Fowler Ave
Temple Terrace, FL 33617-2147
Phone (813) 985-1066

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1376238469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035917",
            "telephone_number": "863-665-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3735 W Neptune St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336295118",
            "country_code": "US",
            "telephone_number": "813-295-7815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Buenos Aires Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321596822",
            "country_code": "US",
            "telephone_number": "352-430-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5212 E Fowler Ave",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336172147",
            "country_code": "US",
            "telephone_number": "813-985-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL IMPLANT SPECIALISTS OF FLORIDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "904-536-6550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.