NPIMap

Organization Active NPI

Forster-Davis-Roberts, PA

  • General Practice Dentistry
  • Englewood, FL
National Provider Identifier
1487707204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN9203 Issued in FL
Legal business name
FORSTER-DAVIS-ROBERTS, PA
Practice address
2121 S McCall Rd
Englewood, FL 34224-4512
Phone
(941) 474-6466
Fax
(941) 473-9351
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Caryn Martino
Title
Insurance Coordinator
Phone
(941) 474-6466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN9203 FL Primary

Addresses

Primary practice location

2121 S McCall Rd
Englewood, FL 34224-4512

Mailing address

2121 S McCall Rd
Englewood, FL 34224-4512
Phone (941) 474-6466

National Provider Directory

National Provider Directory

Locations

2121 S McCall Rd
Englewood, FL 34224
Phone (941) 474-6466

Practitioners & affiliated clinicians

Practitioners 5

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487707204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342244512",
            "telephone_number": "941-474-6466",
            "fax_number": "941-473-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342244512",
            "telephone_number": "941-474-6466",
            "fax_number": "941-473-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSTER-DAVIS-ROBERTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "941-474-6466"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.