NPIMap

Organization Active NPI

Brandon Endodontics, PA

Doing business as Advanced Endodontics of Tampa Bay

  • Dentist
  • Brandon, FL
National Provider Identifier
1841368974
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11659 Issued in FL
Legal business name
BRANDON ENDODONTICS, PA
Doing business as
Advanced Endodontics of Tampa Bay
Practice address
625 Eichenfeld Drive
Brandon, FL 33511
Phone
(813) 654-3636
Fax
(813) 651-4984
NPI assigned
Nov 30, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Michael Orrantia, DMDNPI 1174544423
Title
President
Phone
(813) 654-3636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11659 FL Primary
Endodontics 1223E0200X DN11659 FL

Addresses

Primary practice location

625 Eichenfeld Drive
Brandon, FL 33511

Mailing address

625 Eichenfeld Drive
Brandon, FL 33511
Phone (813) 654-3636

Other names 1

  • Advanced Endodontics of Tampa Bay Doing business as

National Provider Directory

National Provider Directory

Locations

625 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 654-3636

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1841368974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 EICHENFELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-654-3636",
            "fax_number": "813-651-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 EICHENFELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-654-3636",
            "fax_number": "813-651-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON ENDODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "ORRANTIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-654-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11659",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN11659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Endodontics of Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.