Organization Active NPI

Apollo Beach Dental, PL

Doing business as Apollo Beach Family Dentistry

  • Dental Clinic/Center
  • Apollo Beach, FL
National Provider Identifier
1851689392
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17038 Issued in FL
Legal business name
APOLLO BEACH DENTAL, PL
Doing business as
Apollo Beach Family Dentistry
Practice address
101 Flamingo Dr Ste D
Apollo Beach, FL 33572-2600
Phone
(813) 645-1501
Fax
(813) 645-3753
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Robert J Yu, D.M.D.
Title
Owner
Phone
(813) 645-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17038 FL Primary

Addresses

Primary practice location

101 Flamingo Dr Ste D
Apollo Beach, FL 33572-2600

Mailing address

101 Flamingo Dr Ste D
Apollo Beach, FL 33572-2600
Phone (813) 645-1501

Other names 1

  • Apollo Beach Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

101 Flamingo Dr
Ste D
Apollo Beach, FL 33572
Phone (813) 645-1501

Practitioners & affiliated clinicians

Practitioners 3

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": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1851689392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FLAMINGO DR STE D",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722600",
            "telephone_number": "813-645-1501",
            "fax_number": "813-645-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FLAMINGO DR STE D",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722600",
            "telephone_number": "813-645-1501",
            "fax_number": "813-645-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO BEACH DENTAL, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-645-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Beach Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.