David W Friedman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN5705 Issued in FL

Practice address

37149 Florida Ave
Dade City, FL 33525-4625

Phone

(352) 567-2997

Fax

(352) 567-3284

NPI assigned

Mar 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Groomes Dental P.a.

  • General Practice Dentistry
  • Dade City, FL
  • NPI 1013067503
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1730454968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37149 FLORIDA AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37149 FLORIDA AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254625",
            "telephone_number": "352-567-2997",
            "fax_number": "352-567-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN5705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Medical Clinic LLC
• Florida Medical Clinic, LLC
• Joseph Gary Fortunato, DO
• Monica Franceschini, APRN
• Franklin Pharmacy South LLC
• Tracey Fulcher, RN
• China Valencia Gadsden, RBT, HHA
• Arthur Gagne, CPO
• Quintensia Lolita Gaitan-Harris
• Sagar C Galwankar, MD

• General Practice Dentistry in Dade City, FL
• Providers in Dade City, 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 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.