Paradise Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15544 Issued in FL

Legal business name

PARADISE DENTAL

Practice address

1711 Lakewood Ranch Blvd
Bradenton, FL 34211-4906

Phone

(941) 744-1226

Fax

(941) 907-0404

NPI assigned

Jul 23, 2008

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George W. Castro, DDSNPI 1922007863

Title

Owner/Dentist

Phone

(941) 744-1226

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George William Castro, DDS

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1922007863
  NPD (past) Authorized official
• Jeffrey Martins, DDS

  • Dentist
  • Bradenton, FL
  • NPI 1003363672
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1609031236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114906",
            "telephone_number": "941-744-1226",
            "fax_number": "941-907-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114906",
            "telephone_number": "941-744-1226",
            "fax_number": "941-907-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "941-744-1226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NUMBER",
            "identifier": "85208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Panting, MD
• Karin E Pape
• Olga Papp, PHARMD
• Christa Pappas
• Michael A Papper, M.D.
• Paradise Eyes LLC
• Paradise Rest
• Aurora Maria Pardo Yero
• Maria Del Carmen Pardo, D.D.S.
• Stacie L Pardue, MA

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.