Organization Active NPI

Missouri Gardens Dental

  • Dental Clinic/Center
  • Clearwater, FL
National Provider Identifier
1457159592
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MISSOURI GARDENS DENTAL
Practice address
15 N Missouri Ave
Clearwater, FL 33755-4830
Phone
(727) 461-4832
Fax
(727) 461-4835
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dr. Anisha Patel, D.M.D
Title
Dentist
Phone
(727) 461-4832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15 N Missouri Ave
Clearwater, FL 33755-4830

Mailing address

15 N Missouri Ave
Clearwater, FL 33755-4830
Phone (727) 461-4832

National Provider Directory

National Provider Directory

Locations

15 N Missouri Ave
Clearwater, FL 33755
Phone (727) 461-4832

Practitioners & affiliated clinicians

Practitioners 2

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": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1457159592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554830",
            "telephone_number": "727-461-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554830",
            "telephone_number": "727-461-4832",
            "fax_number": "727-461-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI GARDENS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANISHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "727-461-4832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.