NPIMap

Organization Active NPI

Aesthetic Dentistry of Palm City

  • Dentist
  • Palm City, FL
National Provider Identifier
1881801488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0014301 Issued in FL
Legal business name
AESTHETIC DENTISTRY OF PALM CITY
Practice address
2812 SW Mapp Rd
Palm City, FL 34990-2722
Phone
(772) 283-8350
Fax
(772) 220-8750
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas A GalinisNPI 1043411234
Title
President
Phone
(772) 283-8350

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 0014301 FL Primary

Addresses

Primary practice location

2812 SW Mapp Rd
Palm City, FL 34990-2722

Mailing address

2812 SW Mapp Rd
Palm City, FL 34990-2722
Phone (772) 283-8350

National Provider Directory

National Provider Directory

Locations

2812 SW Mapp Rd
Palm City, FL 34990
Phone (772) 220-8750

Practitioners & affiliated clinicians

Practitioners 4

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881801488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902722",
            "telephone_number": "772-283-8350",
            "fax_number": "772-220-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902722",
            "telephone_number": "772-283-8350",
            "fax_number": "772-220-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY OF PALM CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALINIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-283-8350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "0014301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.