NPIMap

Organization Active NPI

Desoto County Health Department

  • Public Health Dentistry
  • Arcadia, FL
National Provider Identifier
1699872200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DN17474 Issued in FL
Legal business name
DESOTO COUNTY HEALTH DEPARTMENT
Practice address
34 S Baldwin Ave
Arcadia, FL 34266-3387
Phone
(863) 993-4570
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip Potempa, DDS
Title
Dentist
Phone
(863) 993-4570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X DN17474 FL Primary

Addresses

Primary practice location

34 S Baldwin Ave
Arcadia, FL 34266-3387

Mailing address

34 S Baldwin Ave
Arcadia, FL 34266-3387
Phone (863) 993-4570

National Provider Directory

National Provider Directory
Tax ID family
Dept of Health Central Pharmacy185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

34 S Baldwin Ave
Arcadia, FL 34266
Phone (863) 491-7580

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699872200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663387",
            "telephone_number": "863-993-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663387",
            "telephone_number": "863-993-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTEMPA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "863-993-4570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN17474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.