Active NPI
James M. Radecki, DDS
- General Practice Dentistry
- Brandon, FL
National Provider Identifier
1386619047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10825
- Practice address
- 1931 W Brandon Blvd
Brandon, FL 33511-4813 - Phone
- (813) 685-7353
- Fax
- (813) 681-5457
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10825 | FL | Primary |
Addresses
Primary practice location
1931 W Brandon Blvd
Brandon, FL 33511-4813
Mailing address
1931 W Brandon Blvd
Brandon, FL 33511-4813
Phone (813) 685-7353
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10825 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386619047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 W BRANDON BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114813",
"telephone_number": "813-685-7353",
"fax_number": "813-681-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 W BRANDON BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114813",
"telephone_number": "813-685-7353",
"fax_number": "813-681-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADECKI",
"first_name": "JAMES",
"middle_name": "M.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "10825",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.