Talida Marciana Flonta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855441 Issued in MA

Practice address

117 Old Plymouth Rd
Apt 2F
Sagamore Beach, MA 02562-2425

Phone

(419) 575-5389

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1598086811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 OLD PLYMOUTH RD",
            "address_2": "APT 2F",
            "city": "SAGAMORE BEACH",
            "state": "MA",
            "postal_code": "025622425",
            "telephone_number": "419-575-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OLD PLYMOUTH RD",
            "address_2": "APT 2F",
            "city": "SAGAMORE BEACH",
            "state": "MA",
            "postal_code": "025622425",
            "telephone_number": "419-575-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLONTA",
        "first_name": "TALIDA",
        "middle_name": "MARCIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian James Douglas, DC
• Nancy Edwards, M.D.
• Carolyn Emond
• Dina Marie Ferrigno
• Hannah Fitzsimmons, OTR
• Robin E. Frost
• Debra E Gauley, MSW
• Alexandria Cynthia Gomes, RN
• Jose a. Sapia D.M.D. P.C.
• Sherry Peck

• General Practice Dentistry in Sagamore Beach, MA
• Providers in Sagamore Beach, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.