Individual provider Active NPI

Garrett Dale Folks, DMD

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1437643137
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23467 Issued in FL
Practice address
1906 59TH St W Ste a
Bradenton, FL 34209-4639
Phone
(941) 795-0144
Fax
(941) 795-7188
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23467 FL Primary

Addresses

Primary practice location

1906 59TH St W Ste a
Bradenton, FL 34209-4639

Mailing address

1906 59TH St W Ste a
Bradenton, FL 34209-4639
Phone (941) 795-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180921000534 FL Order and Referring Only - DentistPractitioner - Dentist 5092066647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23467FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Dental PLLC CurrentSince Jan 26, 2022 Accepting new patients
Sheplak Dental PLLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

1906 59th St W
Ste A
Bradenton, FL 34209
Phone (941) 795-0144

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1437643137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 59TH ST W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094639",
            "telephone_number": "941-795-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 59TH ST W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094639",
            "telephone_number": "941-795-0144",
            "fax_number": "941-795-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKS",
        "first_name": "GARRETT",
        "middle_name": "DALE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.