Active NPI
Michael Sardzinski, D.M.D.
- Endodontics
- Venice, FL
National Provider Identifier
1598980849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN 13440
- Practice address
- 1172 Jacaranda Blvd
Venice, FL 34292-4501 - Phone
- (941) 492-3570
- Fax
- (941) 492-3572
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN 13440 | FL | Primary |
Addresses
Primary practice location
1172 Jacaranda Blvd
Venice, FL 34292-4501
Mailing address
1172 Jacaranda Blvd
Venice, FL 34292-4501
Phone (941) 492-3570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 1, 2019 through May 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 13440 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598980849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924501",
"telephone_number": "941-492-3570",
"fax_number": "941-492-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924501",
"telephone_number": "941-492-3570",
"fax_number": "941-492-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDZINSKI",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN 13440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
- Sarasota County Public Hospital District
- Sarasota Doctors Hospital Inc (Preadmission Testing Services at Venice, a department of HCA Florida Sarasota Doctors Hospital)
- Sarasota Doctors Hospital Inc (HCA Florida Venice Doctors Emergency, a department of HCA Florida Sarasota Doctors Hospital)
- Sarasota Orthopedic Associates LLC
- Sarasota Orthopedic Associates LLC
- Muhammad Shahreyar Sarki, MD
- Kristine Atacador Sarmiento, PTA
- Sat Family, LLC (Spring Creek Medical Supply)
- Sat Family, LLC (Spring Creek Home Medical Supply)
- Sat Solutions L.L.C (SAT Solutions)
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.