Satellite Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SATELLITE FAMILY DENTISTRY

Practice address

210 Jackson Ave
Satellite Beach, FL 32937

Phone

(321) 773-7551

Fax

(321) 773-4292

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Zachery B Shelley

Title

Office Manager

Phone

(321) 773-7551

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Millard Kimball Jr., DDS

  • General Practice Dentistry
  • Satellite Beach, FL
  • NPI 1649349572
  NPD (past)
• Jess Yates, D.M.D.

  • General Practice Dentistry
  • Satellite Beach, FL
  • NPI 1518980168
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1871662080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JACKSON AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-773-7551",
            "fax_number": "321-773-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JACKSON AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-773-7551",
            "fax_number": "321-773-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "ZACHERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-773-7551"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8781",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rooney
• Michael J Roselip, LMT
• Anne Lansing Rossbach, RD, RDN
• Huma Saiyed
• Allison Sanders
• Seaside Villa Assisted Living Facility LLC
• Leah Shanteau, LISWS, LCSW
• Shekhar Desai MD LLC
• Jordan Sifferle
• Gabriele Abreu Simas, PHARMD

• General Practice Dentistry in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.