Organization Active NPI

Frank T Dienst MD PA

  • Internal Medicine Physician
  • Titusville, FL
National Provider Identifier
1558548131
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 28, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02904MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.