NPIMap

Organization Active NPI

Comfortable Care Dental Health Professionals, PA

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1861604530
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Practice address
1310 NW 23Rd Ave Ste a
Gainesville, FL 32605-3009
Phone
(352) 376-5661
Fax
(352) 376-8281
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Amy Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

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

Addresses

Primary practice location

1310 NW 23Rd Ave Ste a
Gainesville, FL 32605-3009

Mailing address

1310 NW 23Rd Ave Ste a
Gainesville, FL 32605-3009
Phone (352) 376-5661

Other names 1

  • University Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfortable Care Denta Health Professionals PA455 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1230 NW 9th Ave
Gainesville, FL 32601
Phone (352) 376-3942

1310 NW 23rd Ave
Ste A
Gainesville, FL 32605
Phone (352) 376-5661

Practitioners & affiliated clinicians

Practitioners 6

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1861604530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NW 23RD AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053009",
            "telephone_number": "352-376-5661",
            "fax_number": "352-376-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NW 23RD AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053009",
            "telephone_number": "352-376-5661",
            "fax_number": "352-376-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.