Organization Active NPI

Gregory E. Cheshire, DMD, PA

  • General Practice Dentistry
  • Melbourne, FL
National Provider Identifier
1831296045
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14021 Issued in FL
Legal business name
GREGORY E. CHESHIRE, DMD, PA
Practice address
1565 Sarno Rd
Suite C
Melbourne, FL 32935-5268
Phone
(321) 600-4994
Fax
(321) 600-4929
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Gregory E Cheshire, DMD
Title
President/Owner Dentist
Phone
(321) 794-9367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN14021 FL Primary

Addresses

Primary practice location

1565 Sarno Rd
Suite C
Melbourne, FL 32935-5268

Mailing address

3200 Southern Oaks Dr
Merritt Island, FL 32952-4155
Phone (321) 794-9367

Other names 1

  • Cheshire Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1565 Sarno Rd
Ste C
Melbourne, FL 32935
Phone (321) 600-4994

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1831296045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SOUTHERN OAKS DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524155",
            "telephone_number": "321-794-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SARNO RD",
            "address_2": "SUITE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355268",
            "telephone_number": "321-600-4994",
            "fax_number": "321-600-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E. CHESHIRE, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "CHESHIRE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER DENTIST",
        "authorized_official_telephone_number": "321-794-9367",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheshire Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.