Individual provider Active NPI

Damien Francis Armstrong, D.M.D

  • General Practice Dentistry
  • Winter Haven, FL
National Provider Identifier
1669742839
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19338 Issued in FL
Practice address
155 2ND St SW
Winter Haven, FL 33880-2909
Phone
(863) 293-1807
Fax
(863) 297-9077
NPI assigned
Jan 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19338 FL Primary

Addresses

Primary practice location

155 2ND St SW
Winter Haven, FL 33880-2909

Mailing address

155 2ND St SW
Winter Haven, FL 33880-2909
Phone (863) 293-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714000385 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507179074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19338FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1669742839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 2ND ST SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802909",
            "telephone_number": "863-293-1807",
            "fax_number": "863-297-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 2ND ST SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802909",
            "telephone_number": "863-293-1807",
            "fax_number": "863-297-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "DAMIEN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.