Individual provider Active NPI

Cornelia Dadaciu, DMD

  • Dentist
  • Bradenton, FL
National Provider Identifier
1841346327
Registry record updated Sep 2, 2016
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21661 Issued in FL
Practice address
4510 El Conquistador Pkwy
Apt #204
Bradenton, FL 34210-4056
Phone
(561) 568-5789
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21661 FL Primary

Addresses

Primary practice location

4510 El Conquistador Pkwy
Apt #204
Bradenton, FL 34210-4056

Mailing address

4510 El Conquistador Pkwy
Apt #204
Bradenton, FL 34210-4056
Phone (561) 568-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031002055 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668750316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1841346327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EL CONQUISTADOR PKWY",
            "address_2": "APT #204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104056",
            "telephone_number": "561-568-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EL CONQUISTADOR PKWY",
            "address_2": "APT #204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104056",
            "telephone_number": "561-568-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADACIU",
        "first_name": "CORNELIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.