Organization Active NPI

Lakewood Ranch Dental Associates Inc

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1629318100
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKEWOOD RANCH DENTAL ASSOCIATES INC
Practice address
6270 Lake Osprey Dr
Sarasota, FL 34240-8425
Phone
(941) 907-8300
Fax
(941) 907-8206
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Ms. Kelley Kingeter
Title
Director of Operations
Phone
(941) 907-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6270 Lake Osprey Dr
Sarasota, FL 34240-8425

Mailing address

6270 Lake Osprey Dr
Sarasota, FL 34240-8425
Phone (941) 907-8300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1629318100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 LAKE OSPREY DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "941-907-8300",
            "fax_number": "941-907-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 LAKE OSPREY DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "941-907-8300",
            "fax_number": "941-907-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RANCH DENTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "KINGETER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "941-907-8300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.