Ekos Sebastian PLLC

Key facts

NPI

1629818166

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

Legal business name

EKOS SEBASTIAN PLLC

Practice address

9402 N US Highway 1
Sebastian, FL 32958-6398

Phone

(772) 589-1140

NPI assigned

May 31, 2024

Organization subpart

No

Authorized official

Name

Sean Tomalty, D.M.D

Title

Owner

Phone

(561) 789-6611

National Provider Directory

Specialties & licenses

Addresses

Other names

• Riverside Family Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 31, 2024.

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1629818166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD STE 218",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724469",
            "telephone_number": "561-899-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 N US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586398",
            "telephone_number": "772-589-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKOS SEBASTIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-789-6611",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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