Organization Active NPI

Sondra L Avant DDS Ms PA

  • Endodontics
  • Port Orange, FL
National Provider Identifier
1447702071
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN13606 Issued in FL
Legal business name
SONDRA L AVANT DDS MS PA
Practice address
731 Dunlawton Ave Ste 105
Port Orange, FL 32127-4237
Phone
(386) 304-4620
Fax
(386) 304-4619
NPI assigned
Oct 31, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Dr. Sondra Avant, DDS MSNPI 1437286663
Title
Owner
Phone
(386) 304-4620

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN13606 FL
Endodontics 1223E0200X DN13606 FL Primary

Addresses

Primary practice location

731 Dunlawton Ave Ste 105
Port Orange, FL 32127-4237

Mailing address

731 Dunlawton Ave Ste 105
Port Orange, FL 32127-4237
Phone (386) 304-4620

National Provider Directory

National Provider Directory

Locations

731 Dunlawton Ave
Ste 105
Port Orange, FL 32127
Phone (386) 304-4620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1447702071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 DUNLAWTON AVE STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274237",
            "telephone_number": "386-304-4620",
            "fax_number": "386-304-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 DUNLAWTON AVE STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274237",
            "telephone_number": "386-304-4620",
            "fax_number": "386-304-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONDRA L AVANT DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "AVANT",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-304-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN13606",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN13606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.