Organization Active NPI

Dimension Medical Group, LLC

  • Primary Care Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1639759988
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DIMENSION MEDICAL GROUP, LLC
Practice address
804 Bayou View Dr
Brandon, FL 33510-2018
Phone
(813) 297-8335
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Toriquic J Dunkley, APRNNPI 1992287700
Title
Nurse Practitioner
Phone
(813) 297-8335

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
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

804 Bayou View Dr
Brandon, FL 33510-2018

Mailing address

804 Bayou View Dr
Brandon, FL 33510-2018
Phone (813) 297-8335

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1639759988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BAYOU VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102018",
            "telephone_number": "813-297-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BAYOU VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102018",
            "telephone_number": "813-297-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSION MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "DUNKLEY",
        "authorized_official_first_name": "TORIQUIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "813-297-8335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.