NPIMap

Organization Active NPI

Sarasota Dental Specialties PA

  • Periodontics
  • Sarasota, FL
National Provider Identifier
1831556273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SARASOTA DENTAL SPECIALTIES PA
Practice address
1880 Arlington St
Ste 205
Sarasota, FL 34239
Phone
(941) 929-5749
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kenneth Liszewski, DMDNPI 1467643239
Title
Owner
Phone
(941) 351-8338

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X FL Primary

Addresses

Primary practice location

1880 Arlington St
Ste 205
Sarasota, FL 34239

Mailing address

7442 N Tamiami TRL
Sarasota, FL 34243-1800
Phone (941) 929-5749

National Provider Directory

National Provider Directory

Locations

1880 Arlington St
Ste 205
Sarasota, FL 34239
Phone (941) 953-4288

Practitioners & affiliated clinicians

Practitioners 4

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831556273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7442 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431800",
            "telephone_number": "941-929-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 ARLINGTON ST",
            "address_2": "STE 205",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-929-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA DENTAL SPECIALTIES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LISZEWSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-351-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.