Cape Side Dental P a

Primary specialty

DentistTaxonomy code 122300000X

License

DN15346 Issued in FL

Legal business name

CAPE SIDE DENTAL P A

Practice address

3265 Bayside Lakes Blvd SE
Palm Bay, FL 32909-6872

Phone

(321) 727-0011

Fax

(321) 727-0014

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Beresford Artley, DMD,FAGDNPI 1578636551

Title

Owner/Doctor

Phone

(321) 727-0011

Specialties & licenses 2

Addresses

Other names 2

• Capeside Dental Doing business as
• Capeside Family Dentistry Other name

Locations

Practitioners 1

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

• Samuel Beresford Artley, DMD,FAGD

  • General Practice Dentistry
  • W Melbourne, FL
  • NPI 1578636551
  NPD Authorized official

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1669780284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 BAYSIDE LAKES BLVD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096872",
            "telephone_number": "321-727-0011",
            "fax_number": "321-727-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 BAYSIDE LAKES BLVD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096872",
            "telephone_number": "321-727-0011",
            "fax_number": "321-727-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Durham Dr",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329047610",
            "country_code": "US",
            "telephone_number": "321-733-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPE SIDE DENTAL P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "ARTLEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BERESFORD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "321-727-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,FAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15346",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capeside Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capeside Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capeside Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.