Active NPI
Anthony Joseph Visconti III, D.M.D.
- Dentist
- Deland, FL
National Provider Identifier
1801099882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN-14130
- Practice address
- 333 E New York Ave
Suite B
Deland, FL 32724-5562 - Phone
- (386) 734-7330
- Fax
- (386) 734-0329
- NPI assigned
- Jun 7, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN-14130 | FL | Primary |
Addresses
Primary practice location
333 E New York Ave
Suite B
Deland, FL 32724-5562
Mailing address
333 East New York Ave.
Suite B
Deland, FL 32724
Phone (386) 734-7330
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN-14130 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801099882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EAST NEW YORK AVE.",
"address_2": "SUITE B",
"city": "DELAND",
"state": "FL",
"postal_code": "32724",
"telephone_number": "386-734-7330",
"fax_number": "386-734-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E NEW YORK AVE",
"address_2": "SUITE B",
"city": "DELAND",
"state": "FL",
"postal_code": "327245562",
"telephone_number": "386-734-7330",
"fax_number": "386-734-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCONTI",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN-14130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
- Villa Healthcare & Rehabilitation Center LLC
- Suzanne Elaine Villalobos, PA-C
- Hector Rey Villanueva, MD
- Gemma Mercado Villapando, ARNP
- Virtual Inpatient Psychiatry Physicians Behavioral Network LLC
- Vision One Deland, LLC
- Vision One Inc
- Visionworks, Inc.
- Harlie Elizabeth Visser, CRNA
- Joanne Vogel, PH.D., LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.