Organization Active NPI

DT Clinical Port St Lucie

  • Prosthodontics
  • Port St Lucie, FL
National Provider Identifier
1407775000
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
DT CLINICAL PORT ST LUCIE
Practice address
1214 SW Gatlin Blvd Unit 103
Port St Lucie, FL 34953-4216
Phone
(772) 232-8186
Fax
(561) 922-7001
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Bryon Almeida
Title
Coo
Phone
(561) 623-5320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

1214 SW Gatlin Blvd Unit 103
Port St Lucie, FL 34953-4216

Mailing address

1214 SW Gatlin Blvd Unit 103
Port St Lucie, FL 34953-4216
Phone (772) 232-8186

National Provider Directory

National Provider Directory

Locations

1214 SW Gatlin Blvd
Unit 103
Port St Lucie, FL 34953

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1407775000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 SW GATLIN BLVD UNIT 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534216",
            "telephone_number": "772-232-8186",
            "fax_number": "561-922-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 SW GATLIN BLVD UNIT 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534216",
            "telephone_number": "772-232-8186",
            "fax_number": "561-922-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DT CLINICAL PORT ST LUCIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "ALMEIDA",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-623-5320"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.