Organization Active NPI

Complete Care Aesthetics Inc

  • Primary Care Clinic/Center
  • Bradenton, FL
National Provider Identifier
1780352039
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMPLETE CARE AESTHETICS INC
Practice address
3007 Manatee Ave W
Bradenton, FL 34205-4240
Phone
(941) 748-8069
Fax
(941) 748-6609
NPI assigned
Sep 1, 2021
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Ian M Kahane, MDNPI 1861846263
Title
President
Phone
(941) 748-8069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3007 Manatee Ave W
Bradenton, FL 34205-4240

Mailing address

3007 Manatee Ave W
Bradenton, FL 34205-4240
Phone (941) 748-8069

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://completecaredocs.com/ Direct Complete Care Group Inc

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1780352039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054240",
            "telephone_number": "941-748-8069",
            "fax_number": "941-748-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054240",
            "telephone_number": "941-748-8069",
            "fax_number": "941-748-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "KAHANE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-748-8069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://completecaredocs.com/",
            "affiliation": "Y",
            "endpointDescription": "Website URL",
            "affiliationName": "Complete Care Group Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3303 Manatee Ave W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342052550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 14, 2025; 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.