Active NPI
Elliott Nathan Katz, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bradenton, FL
National Provider Identifier
1760725063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN21771
- Practice address
- 3611 1St St E Ste 530
Bradenton, FL 34208-4423 - Phone
- (941) 746-7460
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN21771 | FL | Primary |
Addresses
Primary practice location
3611 1St St E Ste 530
Bradenton, FL 34208-4423
Mailing address
424 45TH Ave NE
St Petersburg, FL 33703-5028
Phone (419) 290-1850
Other practice location 1
3806 W Linebaugh Ave
Tampa, FL 33618-8702
Phone (813) 960-0917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21771 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan D. Shoopak D.M.D. ,P.a. | Orthodontics and Dentofacial Orthopedics | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bradenton, FL
- NPI 1942345160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1760725063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 45TH AVE NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337035028",
"telephone_number": "419-290-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 1ST ST E STE 530",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342084423",
"telephone_number": "941-746-7460"
}
],
"practiceLocations": [
{
"address_1": "3806 W Linebaugh Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336188702",
"country_code": "US",
"telephone_number": "813-960-0917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "ELLIOTT",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN21771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.