Mirror Image Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0014015 Issued in FL

Legal business name

MIRROR IMAGE DENTISTRY

Practice address

2140 Bispham Rd
Sarasota, FL 34231-5540

Phone

(941) 929-9332

Fax

(941) 929-7655

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Amy Renee Nulty, D.M.D.NPI 1568581338

Title

Dentist

Phone

(941) 929-9332

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Renee Nulty, DMD

  • General Practice Dentistry
  • Sarasota, FL
  • NPI 1568581338
  NPD (past) Authorized official
• Leslie Robin Nulty, DMD

  • General Practice Dentistry
  • Sarasota, FL
  • NPI 1336268119
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1770925661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 BISPHAM RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315540",
            "telephone_number": "941-929-9332",
            "fax_number": "941-929-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 BISPHAM RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315540",
            "telephone_number": "941-929-9332",
            "fax_number": "941-929-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRROR IMAGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "NULTY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-929-9332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Minore, PTA
• Paul Richard Minton, M.D.
• Daniele Mion-Bet, MD
• Carrie Anne Miranda, APRN
• Aga Miril
• Haares Syed Mirzan, MD
• Kelly Mirzan, PA-C
• Craig Martin Misch, DDS MDS
• Katherine Eileen Misch
• Maggie Misch, DMD

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, 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 Jul 22, 2013; 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.