Organization Active NPI

Family Smile Dentistry P.a.

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1851431191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14572 Issued in FL
Legal business name
FAMILY SMILE DENTISTRY P.A.
Practice address
9090 58TH Dr E Ste 300
Bradenton, FL 34202-6112
Phone
(941) 345-1100
Fax
(941) 345-1099
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Farhad Foroughi, D.M.D.
Title
Dentist
Phone
(941) 345-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN14572 FL Primary

Addresses

Primary practice location

9090 58TH Dr E Ste 300
Bradenton, FL 34202-6112

Mailing address

9090 58TH Dr E Ste 300
Bradenton, FL 34202-6112
Phone (941) 345-1100

National Provider Directory

National Provider Directory
Tax ID family
Family Smile Dentistry PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9090 58th Dr E
Ste 300
Bradenton, FL 34202
Phone (941) 345-1100

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851431191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 58TH DR E STE 300",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026112",
            "telephone_number": "941-345-1100",
            "fax_number": "941-345-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 58TH DR E STE 300",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026112",
            "telephone_number": "941-345-1100",
            "fax_number": "941-345-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILE DENTISTRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOROUGHI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-345-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.