Individual provider Active NPI

Christopher M. Congemi, DMD

  • General Practice Dentistry
  • Spring Hill, FL
National Provider Identifier
1730609793
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22639 Issued in FL
Practice address
3429 Mariner Blvd
Spring Hill, FL 34609-2463
Phone
(352) 666-9898
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22639 FL Primary

Addresses

Primary practice location

3429 Mariner Blvd
Spring Hill, FL 34609-2463

Mailing address

3429 Mariner Blvd
Spring Hill, FL 34609-2463
Phone (352) 666-9898

Other practice location 1

75 Forest Wood Ct
Spring Hill, FL 34609-9401
Phone (352) 650-0343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 8, 2024 through Jul 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN22639FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deluca & Ressel LLC PastSince Jun 15, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1730609793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092463",
            "telephone_number": "352-666-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092463",
            "telephone_number": "352-666-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Forest Wood Ct",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346099401",
            "country_code": "US",
            "telephone_number": "352-650-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONGEMI",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.