NPIMap

Organization Active NPI

Niceville Family Dental Center, P.L.

  • General Practice Dentistry
  • Niceville, FL
National Provider Identifier
1730297656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NICEVILLE FAMILY DENTAL CENTER, P.L.
Practice address
908 Palm Blvd S
Niceville, FL 32578-2603
Phone
(850) 729-1223
Fax
(850) 678-6086
NPI assigned
Aug 29, 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. Ralf Peter Zapata, D.D.S.NPI 1639287477
Title
Director
Phone
(850) 729-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

908 Palm Blvd S
Niceville, FL 32578-2603

Mailing address

908 Palm Blvd S
Niceville, FL 32578-2603
Phone (850) 729-1223

Other identifiers 2

IdentifierTypeStateIssuer
809857OtherUNITED CONCORDIA
34790OtherFLBLUE CROSS OF FLORIDA

National Provider Directory

National Provider Directory

Locations

908 Palm Blvd S
Niceville, FL 32578
Phone (850) 729-1223

Practitioners & affiliated clinicians

Practitioners 5

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730297656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PALM BLVD S",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782603",
            "telephone_number": "850-729-1223",
            "fax_number": "850-678-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 PALM BLVD S",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782603",
            "telephone_number": "850-729-1223",
            "fax_number": "850-678-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICEVILLE FAMILY DENTAL CENTER, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "RALF",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-729-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "809857",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "34790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, 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.