Organization Active NPI

Lockwood Commons Dental Care

  • Dentist
  • Bradenton, FL
National Provider Identifier
1881090025
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17583 Issued in FL
Legal business name
LOCKWOOD COMMONS DENTAL CARE
Practice address
4222 53Rd Ave E
Bradenton, FL 34203
Phone
(941) 251-3995
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Dr. Juan Carlos Mesia, DDS
Title
Owner Dentist
Phone
(941) 251-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN17583 FL Primary

Addresses

Primary practice location

4222 53Rd Ave E
Bradenton, FL 34203

Mailing address

4222 53Rd Ave E
Bradenton, FL 34203
Phone (941) 251-3995

National Provider Directory

National Provider Directory

Locations

4222 53rd Ave E
Bradenton, FL 34203
Phone (941) 251-3995

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1881090025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34203",
            "telephone_number": "941-251-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34203",
            "telephone_number": "941-251-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKWOOD COMMONS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MESIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "941-251-3995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.