Active NPI
Pob Associates, PL
- General Practice Dentistry
- Port St Lucie, FL
National Provider Identifier
1619248697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1997
- Legal business name
- POB ASSOCIATES, PL
- Practice address
- 1657 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5428 - Phone
- (772) 337-4115
- Fax
- (772) 337-4116
- NPI assigned
- Jan 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Michael Hickey, D.M.D.
- Title
- Owner
- Phone
- (772) 359-8962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1997 | FL | Primary |
Addresses
Primary practice location
1657 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5428
Mailing address
1010 SE Kitching Cove LN
Port St Lucie, FL 34952-5902
Phone (772) 359-8962
National Provider Directory
National Provider DirectoryLocations
1657 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 337-4115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Port Saint Lucie, FL
- NPI 1952509358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1619248697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 SE KITCHING COVE LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525902",
"telephone_number": "772-359-8962",
"fax_number": "800-408-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525428",
"telephone_number": "772-337-4115",
"fax_number": "772-337-4116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POB ASSOCIATES, PL",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "HICKEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-359-8962",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN1997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.