NPIMap

Organization Active NPI

Island Dental Associates, P. a.

  • General Practice Dentistry
  • Key West, FL
National Provider Identifier
1649489030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ISLAND DENTAL ASSOCIATES, P. A.
Practice address
1721 Flagler Ave
Key West, FL 33040-4926
Phone
(305) 294-6696
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Billy J Mayfield, D.D.S.NPI 1144341082
Title
Dentist- Owner
Phone
(305) 294-6696

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1721 Flagler Ave
Key West, FL 33040-4926

Mailing address

1721 Flagler Ave
Key West, FL 33040-4926

National Provider Directory

National Provider Directory

Locations

1721 Flagler Ave
Key West, FL 33040
Phone (305) 294-6696

Practitioners & affiliated clinicians

Practitioners 8

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649489030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404926",
            "telephone_number": "305-294-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DENTAL ASSOCIATES, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST- OWNER",
        "authorized_official_telephone_number": "305-294-6696",
        "authorized_official_credential": "D.D.S."
    },
    "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 Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.