Organization Active NPI

David J Busciglio DMD PA

Doing business as Bay Area TMJ & Sleep Center

  • Dentist
  • Brandon, FL
National Provider Identifier
1508140138
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13764 Issued in FL
Legal business name
DAVID J BUSCIGLIO DMD PA
Doing business as
Bay Area TMJ & Sleep Center
Practice address
611 Lumsden Professional CT
Brandon, FL 33511-5996
Phone
(813) 685-6200
Fax
(813) 200-3910
NPI assigned
Sep 30, 2011
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Dr. David Busciglio, DMDNPI 1558538637
Title
President
Phone
(813) 685-6200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN13764 FL Primary

Addresses

Primary practice location

611 Lumsden Professional CT
Brandon, FL 33511-5996

Mailing address

611 Lumsden Professional CT
Brandon, FL 33511-5996
Phone (813) 685-6200

Other names 1

  • Bay Area TMJ & Sleep Center Doing business as

National Provider Directory

National Provider Directory

Locations

611 Lumsden Professional Ct
Brandon, FL 33511
Phone (813) 685-6200

627 W Lumsden Rd
Ste 100
Brandon, FL 33511
Phone (813) 685-6200

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": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1508140138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LUMSDEN PROFESSIONAL CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115996",
            "telephone_number": "813-685-6200",
            "fax_number": "813-200-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LUMSDEN PROFESSIONAL CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115996",
            "telephone_number": "813-685-6200",
            "fax_number": "813-200-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J BUSCIGLIO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "BUSCIGLIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-685-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area TMJ & Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.