Organization Active NPI

Oceans Dental Group Inc

  • Denturist
  • Palm Coast, FL
National Provider Identifier
1619270790
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
15016 Issued in FL
Legal business name
OCEANS DENTAL GROUP INC
Practice address
3 Pine Cone Dr
Suite 108
Palm Coast, FL 32137-8685
Phone
(386) 447-6550
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Frederick Alan Fox, DDSNPI 1568589240
Title
Dentis
Phone
(386) 447-6550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X 15016 FL Primary

Addresses

Primary practice location

3 Pine Cone Dr
Suite 108
Palm Coast, FL 32137-8685

Mailing address

3 Pine Cone Dr
Suite 108
Palm Coast, FL 32137-8685
Phone (386) 447-6550

National Provider Directory

National Provider Directory

Locations

3 Pine Cone Dr
Ste 108
Palm Coast, FL 32137
Phone (386) 445-6550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1619270790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINE CONE DR",
            "address_2": "SUITE 108",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378685",
            "telephone_number": "386-447-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PINE CONE DR",
            "address_2": "SUITE 108",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378685",
            "telephone_number": "386-447-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIS",
        "authorized_official_telephone_number": "386-447-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "FL",
            "license": "15016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.