Space Coast Endodontics, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SPACE COAST ENDODONTICS, PLLC

Practice address

5600 Porada Dr Ste 102
Viera, FL 32940-8082

Phone

(321) 754-9988

NPI assigned

Oct 25, 2020

Last updated

Oct 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Hosking, DDSNPI 1811244791

Title

Owner

Phone

(321) 754-9988

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, and the practitioner matching its NPPES authorized official.

• Michael David Hosking, DDS

  • Endodontics
  • Melbourne, FL
  • NPI 1811244791
  NPD Authorized official

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1801495379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 PORADA DR STE 102",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408082",
            "telephone_number": "321-754-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 PORADA DR STE 102",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408082",
            "telephone_number": "321-754-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE COAST ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "HOSKING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-754-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi E Smith
• Rachel Effolia Smith, FNP-BC
• Yale R Smith, MD
• Sonus-USA, Inc.
• Brandi Dawn Sosa
• Space Coast Lymphedema Clinic LLC
• Space Coast Pediatrics LLC
• Robin Marie Speck
• Michael Stewart Spicer, MD
• Tammy Star, LMHC

• Endodontics in Viera, FL
• Providers in Viera, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.