Active NPI
My Smile Dentistry
- Dentist
- Sarasota, FL
National Provider Identifier
1730412701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18201
- Legal business name
- MY SMILE DENTISTRY
- Practice address
- 846 South Osprey Avenue
Sarasota, FL 34236 - Phone
- (941) 706-1505
- Fax
- (941) 554-8172
- NPI assigned
- Sep 9, 2009
- Organization subpart
- Yes
- Parent organization
- MY SMILE DENTISTRY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John C. Richard
- Title
- VP
- Phone
- (941) 928-2490
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18201 | FL | Primary |
| Dentist | 122300000X | DN18531 | FL | |
| Dentist | 122300000X | DN17733 | FL |
Addresses
Primary practice location
846 South Osprey Avenue
Sarasota, FL 34236
Mailing address
846 South Osprey Avenue
Sarasota, FL 34236
Phone (941) 706-1505
National Provider Directory
National Provider Directory- Part of
- My Smile Dentistry
Locations
846 S Osprey Ave
Sarasota, FL 34236
Phone (941) 706-1505
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Cooper City, FL
- NPI 1801476163
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Sarasota, FL
- NPI 1003928375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252454400000",
"number": "1730412701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 SOUTH OSPREY AVENUE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34236",
"telephone_number": "941-706-1505",
"fax_number": "941-554-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "846 SOUTH OSPREY AVENUE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34236",
"telephone_number": "941-706-1505",
"fax_number": "941-554-8172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY SMILE DENTISTRY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MY SMILE DENTISTRY",
"enumeration_date": "2009-09-09",
"last_updated": "2009-09-09",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "941-928-2490"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN18201",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN18531",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN17733",
"primary": false
}
],
"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 Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.