Organization Active NPI

Eric J Claessens DDS PA

  • Dentist
  • North Port, FL
National Provider Identifier
1518354620
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11234 Issued in FL
Legal business name
ERIC J CLAESSENS DDS PA
Practice address
12450 Tamiami TRL S Unit a
North Port, FL 34287-1473
Phone
(941) 423-1777
Fax
(941) 423-0493
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Eric John Claessens, DDS
Title
President
Phone
(941) 423-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN11234 FL Primary

Addresses

Primary practice location

12450 Tamiami TRL S Unit a
North Port, FL 34287-1473

Mailing address

12450 Tamiami TRL S Unit a
North Port, FL 34287-1473
Phone (941) 423-1777

National Provider Directory

National Provider Directory

Locations

12450 Tamiami Trl S
Unit A
North Port, FL 34287
Phone (941) 423-1777

Practitioners & affiliated clinicians

Practitioners 2

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": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1518354620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 TAMIAMI TRL S UNIT A",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871473",
            "telephone_number": "941-423-1777",
            "fax_number": "941-423-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 TAMIAMI TRL S UNIT A",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871473",
            "telephone_number": "941-423-1777",
            "fax_number": "941-423-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J CLAESSENS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "CLAESSENS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-423-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.