C R Fort DMD PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8002 Issued in FL

Legal business name

C R FORT DMD PLC

Practice address

330 E Broadway St
Fort Meade, FL 33841-3012

Phone

(863) 285-7121

Fax

(863) 285-8648

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Charles Robert Fort, DMDNPI 1346328812

Title

Owner

Phone

(863) 285-7121

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.

• Charles Robert Fort, DMD

  • Dentist
  • Fort Meade, FL
  • NPI 1346328812
  NPD (past) Authorized official

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1831443258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E BROADWAY ST",
            "city": "FORT MEADE",
            "state": "FL",
            "postal_code": "338413012",
            "telephone_number": "863-285-7121",
            "fax_number": "863-285-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E BROADWAY ST",
            "city": "FORT MEADE",
            "state": "FL",
            "postal_code": "338413012",
            "telephone_number": "863-285-7121",
            "fax_number": "863-285-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C R FORT DMD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-285-7121",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alner Miguel Quinonez, M.D., P.a.
• Nadia Swain Anderson, L.M.T.
• Marcela Arguedas, M.D.
• Tamora Brown
• Cheryl Doty, PT
• Florida Integrated Health Services (Fast & Friendly Pharmacy)
• Fort Meade Chiropractic Clinic PA
• Charles Robert Fort, DMD
• Ft Meade Community Pharmacy Inc (Ft Meade Comm Phcy Inc)

• General Practice Dentistry in Fort Meade, FL
• Providers in Fort Meade, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.