Organization Active NPI

Island Dental Specialties Dba Toothworks

  • Endodontics
  • Christiansted, VI
National Provider Identifier
1427451368
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
V1221 Issued in VI
Legal business name
ISLAND DENTAL SPECIALTIES DBA TOOTHWORKS
Practice address
4504 Estate Diamond
Suite 1-2
Christiansted, VI 00820-5214
Phone
(340) 778-3636
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Nadia Berkitt
Title
Office Manager
Phone
(340) 778-3636

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X V-1858 VI
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X V1221 VI Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2155 VI
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 1858 VI

Addresses

Primary practice location

4504 Estate Diamond
Suite 1-2
Christiansted, VI 00820-5214

Mailing address

4504 Estate Diamond
Suite 1-2
Christiansted, VI 00820-5214
Phone (340) 778-3636

National Provider Directory

National Provider Directory

Locations

4504 Estate Diamond
Ste 12
Christiansted, VI 00820
Phone (340) 778-3636

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1427451368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 ESTATE DIAMOND",
            "address_2": "SUITE 1-2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205214",
            "telephone_number": "340-778-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 ESTATE DIAMOND",
            "address_2": "SUITE 1-2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205214",
            "telephone_number": "340-778-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DENTAL SPECIALTIES DBA TOOTHWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "BERKITT",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "340-778-3636"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VI",
            "license": "V-1858",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VI",
            "license": "V1221",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VI",
            "license": "2155",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VI",
            "license": "1858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.