Treasure Coast Periodontics, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN12252 Issued in FL

Legal business name

TREASURE COAST PERIODONTICS, PA

Practice address

900 SE Ocean Blvd
BLDG.a, Ste.102
Stuart, FL 34994-2471

Phone

(772) 781-0744

Fax

(772) 781-0748

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Horan, D.M.D.NPI 1679793392

Title

President

Phone

(772) 781-0744

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James Horan, D.M.D.

  • Periodontics
  • Stuart, FL
  • NPI 1679793392
  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1790903508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD",
            "address_2": "BLDG.A, STE.102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942471",
            "telephone_number": "772-781-0744",
            "fax_number": "772-781-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD",
            "address_2": "BLDG.A, STE.102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942471",
            "telephone_number": "772-781-0744",
            "fax_number": "772-781-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PERIODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-781-0744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Palliative Care, LLC
• Treasure Coast Pathology, PA
• Treasure Coast Pathology, PA
• Treasure Coast Pediatric Associates,P.a.
• Treasure Coast Pediatric Therapy Services, LLC
• Treasure Coast Physical Medicine, LLC
• Treasure Coast Primary Care, PA
• Treasure Coast Psychiatric Services, P.a.
• Treasure Coast Psychiatry, LLC
• Treasure Coast Psychology, Inc.

• Periodontics in Stuart, FL
• Providers in Stuart, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.