Organization Active NPI

North Central Florida Endodontics,PLLC

  • Endodontics
  • Ocala, FL
National Provider Identifier
1699326603
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
NORTH CENTRAL FLORIDA ENDODONTICS,PLLC
Practice address
48 SE 16TH Ave
Ocala, FL 34471-2521
Phone
(352) 629-5898
Fax
(352) 629-3995
NPI assigned
Sep 23, 2019
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Lisa Thomas
Title
Insurance Coordinator
Phone
(352) 375-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

48 SE 16TH Ave
Ocala, FL 34471-2521

Mailing address

1905 NW 13TH St Ste 2
Gainesville, FL 32609-3414
Phone (352) 375-7776

Other practice location 1

1905 NW 13th St
Gainesville, FL 32609-3414
Phone (352) 375-7776

Other identifiers 2

IdentifierTypeStateIssuer
101505100MedicaidFL
101505400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
North Central Florida Endodonticspllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1905 NW 13th St
Gainesville, FL 32609
Phone (352) 375-7776

1905 NW 13th St
#2
Gainesville, FL 32609
Phone (352) 375-7776

48 SE 16th Ave
Ocala, FL 34471
Phone (352) 629-5898

Practitioners & affiliated clinicians

Practitioners 1

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": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1699326603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 NW 13TH ST STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093414",
            "telephone_number": "352-375-7776",
            "fax_number": "352-375-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SE 16TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712521",
            "telephone_number": "352-629-5898",
            "fax_number": "352-629-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 NW 13th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326093414",
            "country_code": "US",
            "telephone_number": "352-375-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH CENTRAL FLORIDA ENDODONTICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "352-375-7776"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101505100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101505400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.