Pimendent II, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17338 Issued in FL

Legal business name

PIMENDENT II, PA

Doing business as

Aspen Dental

Practice address

1812 Dunlawton Ave Ste 101
Port Orange, FL 32127-2925

Phone

(386) 233-3040

Fax

(386) 756-8810

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Marko

Title

VP Ins Ops

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

Practitioners 3

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.

• Estefany Montana

  • General Practice Dentistry
  • North Miami Beach, FL
  • NPI 1093554420
  NPD (past)
• Kevin Powers, DMD

  • Dentist
  • Port Orange, FL
  • NPI 1447826979
  NPD (past)
• Maryam Bella Zargar

  • General Practice Dentistry
  • Port Orange, FL
  • NPI 1477343341
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1700203528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 DUNLAWTON AVE STE 101",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272925",
            "telephone_number": "386-233-3040",
            "fax_number": "386-756-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMENDENT II, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "MARKO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP INS OPS",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Rebecca Piazza
• Gloria Picart
• Anthony Carmine Picchiello, MD
• Kira Anne Piccone
• Jon Pickens
• Cali Pinto
• Monica Piquero
• Kayla Pittman, PTA
• Nicole F Pizza
• Carol Poirrier

• General Practice Dentistry in Port Orange, FL
• Providers in Port Orange, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.