Elodie Chimuanya Epane Kamdem, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN22509 Issued in FL

Practice address

Bright Now Dentalst , 650
3611 1St Street, Suiyr
Bradenton, FL 34208

Phone

(194) 174-9174

NPI assigned

Feb 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730548934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 1ST ST STE 650",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084423",
            "telephone_number": "194-174-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHT NOW DENTALST , 650",
            "address_2": "3611 1ST STREET, SUIYR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "194-174-9174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Lakewood Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342114953",
            "country_code": "US",
            "telephone_number": "941-405-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPANE KAMDEM",
        "first_name": "ELODIE",
        "middle_name": "CHIMUANYA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Enfinger, PHARMD
• James Christopher Ennis, OTR/L, CKTP
• Jerry Ennis Jr.
• Matthew Louis Ennis, A.T.,C.
• Marla Entelisano, COTA/L
• Madeline Epstein, PA-C
• Jill Holly Erbella, PA
• Jose Erbella Jr., MD
• Alyssa Erickson, APRN
• Bengt Ericsson, B.C.-H.I.S.

• Dentist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.