New Image Dentistry of Beachside

Primary specialty

DentistTaxonomy code 122300000X

License

DN1341 Issued in FL

Legal business name

NEW IMAGE DENTISTRY OF BEACHSIDE

Practice address

660 E Eau Gallie Blvd
Suite 1
Indian Harbour Beach, FL 32937-0000

Phone

(321) 777-7474

Fax

(321) 777-7558

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Jordan-Ward

Title

Office Manager

Phone

(321) 777-7474

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sowmya Rao Kumar, DMD

  • General Practice Dentistry
  • Rockledge, FL
  • NPI 1316354467
  NPD (past)
• Sumayya Mujeeb, DMD

  • General Practice Dentistry
  • Indian Harbour Beach, FL
  • NPI 1750908422
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1588078356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD",
            "address_2": "SUITE 1",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374873",
            "telephone_number": "321-777-7474",
            "fax_number": "321-777-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD",
            "address_2": "SUITE 1",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329370000",
            "telephone_number": "321-777-7474",
            "fax_number": "321-777-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE DENTISTRY OF BEACHSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "JORDAN-WARD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-777-7474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN1341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumayya Mujeeb, DMD
• My Vital View, LLC
• My Vital View, LLC
• Naomi J Aguilera, OD LLC
• Deborah Anne Nemetz, MPT
• Ruben Oliveira
• Ashley Ann Owchinko, DPT
• Gary Michael Palsis, D.M.D.
• Pamper Your Mind, LLC
• Caitlin Parnofiello

• Dentist in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.