Organization Active NPI

Ridgemoor Dental Arts, Inc.

  • Dentist
  • Palm Harbor, FL
National Provider Identifier
1861590226
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13840 Issued in FL
Legal business name
RIDGEMOOR DENTAL ARTS, INC.
Practice address
4854 Ridgemoor Blvd
Palm Harbor, FL 34685-1742
Phone
(727) 789-8900
Fax
(727) 789-1029
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Kristin BurchNPI 1689018541
Title
Dentist
Phone
(727) 789-8900

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13840 FL Primary

Addresses

Primary practice location

4854 Ridgemoor Blvd
Palm Harbor, FL 34685-1742

Mailing address

4854 Ridgemoor Blvd
Palm Harbor, FL 34685-1742
Phone (727) 789-8900

National Provider Directory

National Provider Directory

Locations

4854 Ridgemoor Blvd
Palm Harbor, FL 34685
Phone (727) 789-8900

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1861590226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4854 RIDGEMOOR BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851742",
            "telephone_number": "727-789-8900",
            "fax_number": "727-789-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 RIDGEMOOR BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851742",
            "telephone_number": "727-789-8900",
            "fax_number": "727-789-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEMOOR DENTAL ARTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "727-789-8900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.