NPIMap

Organization Active NPI

Emerald Coast Periodontics, P.a.

  • Periodontics
  • Niceville, FL
National Provider Identifier
1437201712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN0008574 Issued in FL
Legal business name
EMERALD COAST PERIODONTICS, P.A.
Practice address
719 Bayshore Dr
Niceville, FL 32578-2546
Phone
(850) 678-6485
Fax
(850) 678-5245
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia R Francisco, D.M.D.NPI 1871731794
Title
Owner,President
Phone
(850) 678-6485

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN0008574 FL Primary

Addresses

Primary practice location

719 Bayshore Dr
Niceville, FL 32578-2546

Mailing address

719 Bayshore Dr
Niceville, FL 32578-2546
Phone (850) 678-6485

Other names 1

  • Patricia R. Francisco, D.M.D., M.Ed. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437201712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 BAYSHORE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782546",
            "telephone_number": "850-678-6485",
            "fax_number": "850-678-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 BAYSHORE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782546",
            "telephone_number": "850-678-6485",
            "fax_number": "850-678-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PERIODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "850-678-6485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN0008574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia R. Francisco, D.M.D., M.Ed.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.