Daniel Dantini MD PA

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

ME0015778 Issued in FL

Legal business name

DANIEL DANTINI MD PA

Practice address

29 Old Kings Rd N
Suite 6a
Palm Coast, FL 32137-8231

Phone

(386) 446-2202

Fax

(386) 597-2975

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Daniel Dantini, MD

Title

Pres

Phone

(386) 446-2202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1700143534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 OLD KINGS RD N",
            "address_2": "SUITE 6A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378231",
            "telephone_number": "386-446-2202",
            "fax_number": "386-597-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 OLD KINGS RD N",
            "address_2": "SUITE 6A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378231",
            "telephone_number": "386-446-2202",
            "fax_number": "386-597-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DANTINI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DANTINI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "386-446-2202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": "ME0015778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.