Organization Active NPI

Dewey L. Bracy, DMD, PA

  • General Practice Dentistry
  • St Petersburg, FL
National Provider Identifier
1811073125
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEWEY L. BRACY, DMD, PA
Practice address
7755 38TH Ave N
St Petersburg, FL 33710-1234
Phone
(727) 343-0824
Fax
(727) 343-0927
NPI assigned
Oct 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Dewey L. Bracy, DMDNPI 1366528671
Title
President
Phone
(727) 343-0824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7755 38TH Ave N
St Petersburg, FL 33710-1234

Mailing address

7755 38TH Ave N
St Petersburg, FL 33710-1234
Phone (727) 343-0824

National Provider Directory

National Provider Directory

Locations

7755 38th Ave N
St Petersburg, FL 33710
Phone (727) 343-0824

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1811073125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101234",
            "telephone_number": "727-343-0824",
            "fax_number": "727-343-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101234",
            "telephone_number": "727-343-0824",
            "fax_number": "727-343-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWEY L. BRACY, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BRACY",
        "authorized_official_first_name": "DEWEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-343-0824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.