Organization Active NPI

Ave Maria Dentistry

  • Dental Clinic/Center
  • Ave Maria, FL
National Provider Identifier
1679982243
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN18551 Issued in FL
Legal business name
AVE MARIA DENTISTRY
Practice address
5064 Annunciation Cir
Suite 101
Ave Maria, FL 34142-9671
Phone
(239) 919-6930
NPI assigned
Aug 8, 2014
Last updated
Aug 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Caitlin Pol McLaughlin-Raiger
Title
President
Phone
(239) 919-6930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN18551 FL Primary

Addresses

Primary practice location

5064 Annunciation Cir
Suite 101
Ave Maria, FL 34142-9671

Mailing address

5064 Annunciation Cir
Suite 101
Ave Maria, FL 34142-9671
Phone (239) 919-6930

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1679982243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5064 ANNUNCIATION CIR",
            "address_2": "SUITE 101",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429671",
            "telephone_number": "239-919-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5064 ANNUNCIATION CIR",
            "address_2": "SUITE 101",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429671",
            "telephone_number": "239-919-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE MARIA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN-RAIGER",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "POL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-919-6930"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ave Maria, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.