Organization Active NPI

Dentalmed Inc

  • Case Management Agency
  • Tampa, FL
National Provider Identifier
1679725477
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DENTALMED INC
Practice address
2203 N Lois Ave
Ste 955
Tampa, FL 33607-2370
Phone
(813) 872-9605
Fax
(813) 876-9895
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Mr. Ernest Rodriguez
Title
Director
Phone
(813) 872-9605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2203 N Lois Ave
Ste 955
Tampa, FL 33607-2370

Mailing address

2203 N Lois Ave
Ste 955
Tampa, FL 33607-2370
Phone (813) 872-9605

National Provider Directory

National Provider Directory

Locations

2203 N Lois Ave
Ste 955
Tampa, FL 33607
Phone (813) 872-9605

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1679725477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 N LOIS AVE",
            "address_2": "STE 955",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072370",
            "telephone_number": "813-872-9605",
            "fax_number": "813-876-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 N LOIS AVE",
            "address_2": "STE 955",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072370",
            "telephone_number": "813-872-9605",
            "fax_number": "813-876-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-872-9605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.