NPIMap

Organization Active NPI

Beach Dental Group Inc

  • Dentist
  • Ormond Beach, FL
National Provider Identifier
1740560739
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15016 Issued in FL
Legal business name
BEACH DENTAL GROUP INC
Practice address
34 Dormer Dr
Ormond Beach, FL 32174-1051
Phone
(386) 428-6491
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Frederick A Fox, DENTIS
Title
Pres
Phone
(386) 428-6491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN15016 FL Primary

Addresses

Primary practice location

34 Dormer Dr
Ormond Beach, FL 32174-1051

Mailing address

809 State Road 44
New Smyrna Beach, FL 32168-7271
Phone (386) 428-6491

National Provider Directory

National Provider Directory
Tax ID family
Beach Dental Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1740560739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687271",
            "telephone_number": "386-428-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 DORMER DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741051",
            "telephone_number": "386-428-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "386-428-6491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.