Active NPI
Frank T Dienst MD PA
- Internal Medicine Physician
- Titusville, FL
National Provider Identifier
1558548131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FRANK T DIENST MD PA
- Practice address
- 123 S Park Ave
Titusville, FL 32796-3377 - Phone
- (321) 268-1995
- Fax
- (321) 264-0727
- NPI assigned
- Jan 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank T Dienst III, M.D.
- Title
- Medical Doctor Owner
- Phone
- (321) 268-1995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
123 S Park Ave
Titusville, FL 32796-3377
Mailing address
123 S Park Ave
Titusville, FL 32796-3377
Phone (321) 268-1995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02904 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1558548131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S PARK AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327963377",
"telephone_number": "321-268-1995",
"fax_number": "321-264-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S PARK AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327963377",
"telephone_number": "321-268-1995",
"fax_number": "321-264-0727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK T DIENST MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-26",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "DIENST",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEDICAL DOCTOR OWNER",
"authorized_official_telephone_number": "321-268-1995",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02904",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.