NPIMap

Organization Active NPI

Dentistry of Sarasota LLC

  • Customized Equipment (DME)
  • Sarasota, FL
National Provider Identifier
1720408917
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
DN16194 Issued in FL
Legal business name
DENTISTRY OF SARASOTA LLC
Practice address
3990 Clark Rd
Sarasota, FL 34233-2363
Phone
(941) 921-7055
Fax
(941) 923-0764
NPI assigned
Apr 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Cindy Loyal
Title
Office Manager
Phone
(941) 921-7055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN16194 FL
Customized Equipment (DME) 332BC3200X DN16194 FL Primary

Addresses

Primary practice location

3990 Clark Rd
Sarasota, FL 34233-2363

Mailing address

3990 Clark Rd
Sarasota, FL 34233-2363
Phone (941) 921-7055

National Provider Directory

National Provider Directory

Locations

3990 Clark Rd
Sarasota, FL 34233
Phone (941) 921-7055

Practitioners & affiliated clinicians

Practitioners 3

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": "1398470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1720408917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332363",
            "telephone_number": "941-921-7055",
            "fax_number": "941-923-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332363",
            "telephone_number": "941-921-7055",
            "fax_number": "941-923-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF SARASOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-26",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "LOYAL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-921-7055"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16194",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "DN16194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.