Organization Active NPI

Carolina Dentures of the Villages

  • Dental Clinic/Center
  • The Villages, FL
National Provider Identifier
1699009688
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN0011269 Issued in FL
Legal business name
CAROLINA DENTURES OF THE VILLAGES
Practice address
8640 E County Road 466
Suite B
The Villages, FL 32162-5615
Phone
(352) 674-9077
Fax
(352) 259-8542
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Judy Ann Mastapasco
Title
Office Administrator
Phone
(352) 674-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN0011269 FL Primary

Addresses

Primary practice location

8640 E County Road 466
Suite B
The Villages, FL 32162-5615

Mailing address

8640 E County Road 466
Suite B
The Villages, FL 32162-5615
Phone (352) 674-9077

National Provider Directory

National Provider Directory

Locations

8640 E County Road 466
Ste B
The Villages, FL 32162
Phone (352) 674-9077

Practitioners & affiliated clinicians

Practitioners 1

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": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1699009688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 E COUNTY ROAD 466",
            "address_2": "SUITE B",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625615",
            "telephone_number": "352-674-9077",
            "fax_number": "352-259-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 E COUNTY ROAD 466",
            "address_2": "SUITE B",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625615",
            "telephone_number": "352-674-9077",
            "fax_number": "352-259-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DENTURES OF THE VILLAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "MASTAPASCO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "352-674-9077"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0011269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.