Active NPI
Ronald S Acquaro, DMD
- Pediatric Dentistry
- Bradenton, FL
National Provider Identifier
1558409169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5615
- Practice address
- 5714 21St Ave W
Bradenton, FL 34209-5606 - Phone
- (941) 792-6272
- Fax
- (941) 792-1795
- NPI assigned
- Feb 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5615 | FL | Primary |
Addresses
Primary practice location
5714 21St Ave W
Bradenton, FL 34209-5606
Mailing address
5714 21St Ave W
Bradenton, FL 34209-5606
Phone (941) 792-6272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5615 | FL | MD | Pediatric Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Children's Dentistry of Manatee
- Pediatric Dentistry
- Bradenton, FL
- NPI 1760538904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558409169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5714 21ST AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095606",
"telephone_number": "941-792-6272",
"fax_number": "941-792-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5714 21ST AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095606",
"telephone_number": "941-792-6272",
"fax_number": "941-792-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACQUARO",
"first_name": "RONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "5615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
- Accountable Inpatient Medicine Manatee LLC (AIM Manatee LLC)
- Ace Homecare LLC (Ace Homecare)
- Lauren Acevedo-Molina, MD
- Waleska Acevedo, LCSW
- Naveen Acharya, MD
- Acr Financial Management, LLC (Riverside Chiropractic Co., LLC)
- Act Medical Solutions LLC
- Active Senior Fitness & Companion LLC
- Elizabeth Actkinson, MS, CCC-SLP
- Acupuncture and Herbal Solutions, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.