Charles D'Amico, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5111 Issued in FL

Practice address

3900 Clark Rd
BLDG H, Suite 5
Sarasota, FL 34233-2301

Phone

(941) 921-4343

NPI assigned

Feb 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Charles a. D'Amico, D.D.S., P.a.

  • Periodontics
  • Sarasota, FL
  • NPI 1215069208
  NPD (past) Authorized official

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376684399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "BLDG H, SUITE 5",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "BLDG H, SUITE 5",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-921-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "CHARLES",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "5111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Czak, D.O.
• Kate Czarnopys, BCBA
• Elizabeth Czerniak
• Tarah Czyzewski
• Mark Lawrence D'Agostino, M.D.
• Laura Jeanne D'Angelo, M.D.
• Gillian D'Arcy, ATC
• Chris G D'Hespeel, P.T.
• Marisa Lynn D'Imperio, OT
• Anthony W D'Souza, MD

• Periodontics in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.