Organization Active NPI

My Smile Dentistry

  • Dentist
  • Sarasota, FL
National Provider Identifier
1730412701
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18201 Issued in FL
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 DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN18201 FL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN18531 FL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.