NPIMap

Organization Active NPI

Brandon Dental Care

  • General Practice Dentistry
  • Brandon, FL
National Provider Identifier
1871737098
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRANDON DENTAL CARE
Practice address
413 W Robertson St
Ste. # C
Brandon, FL 33511-5014
Phone
(813) 685-0809
Fax
(813) 685-3290
NPI assigned
May 1, 2009
Last updated
May 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. Christopher F Waite, DMDNPI 1740338227
Title
Dentist
Phone
(813) 685-0809

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

413 W Robertson St
Ste. # C
Brandon, FL 33511-5014

Mailing address

413 W Robertson St Ste C
Brandon, FL 33511-5014
Phone (813) 685-0809

National Provider Directory

National Provider Directory

Locations

413 W Robertson St
Ste C
Brandon, FL 33511
Phone (813) 685-0809

Practitioners & affiliated clinicians

Practitioners 4

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": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1871737098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W ROBERTSON ST STE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115014",
            "telephone_number": "813-685-0809",
            "fax_number": "813-685-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W ROBERTSON ST",
            "address_2": "STE. # C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115014",
            "telephone_number": "813-685-0809",
            "fax_number": "813-685-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-685-0809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.