Active NPI
Anthony Dire, DMD
- Dentist
- Orange City, FL
National Provider Identifier
1487764528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0012624
- Practice address
- 1025 S Volusia Ave
Orange City, FL 32763-7022 - Phone
- (386) 775-9933
- Fax
- (386) 775-9604
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN0012624 | FL | Primary |
Addresses
Primary practice location
1025 S Volusia Ave
Orange City, FL 32763-7022
Mailing address
1025 S Volusia Ave
Orange City, FL 32763-7022
Phone (386) 775-9933
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525000853 | FL | Order and Referring Only - Other (Physician) | 0345539789 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0012624 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1487764528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S VOLUSIA AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637022",
"telephone_number": "386-775-9933",
"fax_number": "386-775-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S VOLUSIA AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637022",
"telephone_number": "386-775-9933",
"fax_number": "386-775-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRE",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0012624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.