Organization Active NPI

C. Nicholas Deture PA

Doing business as Stuart Periodontics

  • Dentist
  • Stuart, FL
National Provider Identifier
1457893745
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
C. NICHOLAS DETURE PA
Doing business as
Stuart Periodontics
Practice address
901 SE Ocean Blvd
Stuart, FL 34994-2429
Phone
(772) 283-1400
Fax
(772) 283-1488
NPI assigned
Nov 17, 2016
Last updated
Nov 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Dr. Nicolas Deture
Title
Doctor/Provider
Phone
(772) 283-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

901 SE Ocean Blvd
Stuart, FL 34994-2429

Mailing address

901 SE Ocean Blvd
Stuart, FL 34994-2429
Phone (772) 283-1400

Other names 1

  • Stuart Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

901 SE Ocean Blvd
Stuart, FL 34994
Phone (407) 283-1400

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": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1457893745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942429",
            "telephone_number": "772-283-1400",
            "fax_number": "772-283-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942429",
            "telephone_number": "772-283-1400",
            "fax_number": "772-283-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. NICHOLAS DETURE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "DETURE",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "DOCTOR/PROVIDER",
        "authorized_official_telephone_number": "772-283-1400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.