Supreme Smiles of Sarasota

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN18851 Issued in FL

Legal business name

SUPREME SMILES OF SARASOTA

Practice address

2345 Bee Ridge Rd
Suite 4
Sarasota, FL 34239-6251

Phone

(941) 923-7060

Fax

(941) 925-4724

NPI assigned

Dec 15, 2015

Organization subpart

No

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

Authorized official

Name

Melvin Mathew Korattiyil, DMDNPI 1962734509

Title

Dentist

Phone

(941) 923-7060

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Melvin Mathew Korattiyil, D.M.D.

  • Dentist
  • Sarasota, FL
  • NPI 1962734509
  NPD (past) Authorized official
• Joseph Thien Vu, DMD

  • Dentist
  • Sarasota, FL
  • NPI 1649468745
  NPD (past)

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1629433800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 BEE RIDGE RD",
            "address_2": "SUITE 4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396251",
            "telephone_number": "941-923-7060",
            "fax_number": "941-925-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 BEE RIDGE RD",
            "address_2": "SUITE 4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396251",
            "telephone_number": "941-923-7060",
            "fax_number": "941-925-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME SMILES OF SARASOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "KORATTIYIL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-923-7060",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Spine and Pain Specialists PLLC
• Pete Supan, DO
• Superior Eyes Optical, Inc
• Ryan Stark Suplee, M.D.
• Supportive Arms L.L.C.
• Karen Eastburn Surdi, PT
• Suresh C Mishra Mdpa
• Surgery Assisted by B&H Inc
• Surgery Center at University Park, LLC
• Surgery Consultants of Florida LLC

• Dental Clinic/Center in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.