NPIMap

Organization Active NPI

Smile Nation

  • Pediatric Dentistry
  • Bradenton, FL
National Provider Identifier
1437526308
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN14677 Issued in FL
Legal business name
SMILE NATION
Practice address
6060 53Rd Ave E
Suite a
Bradenton, FL 34203-9719
Phone
(941) 727-0025
Fax
(941) 739-2315
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Derek M Busciglio, DMD
Title
President
Phone
(813) 465-8289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN14677 FL Primary

Addresses

Primary practice location

6060 53Rd Ave E
Suite a
Bradenton, FL 34203-9719

Mailing address

6060 53Rd Ave E
Suite a
Bradenton, FL 34203-9719
Phone (941) 727-0025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1437526308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 53RD AVE E",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039719",
            "telephone_number": "941-727-0025",
            "fax_number": "941-739-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 53RD AVE E",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039719",
            "telephone_number": "941-727-0025",
            "fax_number": "941-739-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "BUSCIGLIO",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-465-8289",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN14677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.