Douglas P Bethoney, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN15106 Issued in FL

Practice address

625 Eichenfeld Dr
Brandon, FL 33511-5908

Phone

(813) 654-3636

Fax

(813) 651-4984

NPI assigned

Jul 22, 2006

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Douglas P Bethoney Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brandon Endodontics, PA

  dba Advanced Endodontics of Tampa Bay

  • Dentist
  • Brandon, FL
  • NPI 1841368974

  Endodontics

  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1609897958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ISLEBAY DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723332",
            "telephone_number": "813-654-3636",
            "fax_number": "813-651-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 EICHENFELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115908",
            "telephone_number": "813-654-3636",
            "fax_number": "813-651-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHONEY",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "BETHONEY",
            "middle_name": "P",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Best Value Healthcare LLC
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• Daymarelis Betancourt Cabrera
• Griselle Betancourt
• Beth Ingram & Associates, Inc. (HealthPRO Pediatrics)
• Better Beginnings Sober Living
• Better Care Solutions Home Health LLC
• Better Care Solutions Home Health, LLC
• Robert Martin Betzu, M.D.
• Kristina Beverly, NP

• Endodontics in Brandon, FL
• Providers in Brandon, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.