Harborside Dental Assoc Pca

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HARBORSIDE DENTAL ASSOC PCA

Practice address

522 E Marion Ave
3Rd Floor
Punta Gorda, FL 33950

Phone

(941) 575-9200

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Michelle Walbert Moenning, DDSNPI 1750334207

Title

Dentist

Phone

(941) 575-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michelle Walbert Moenning, DDS

  • Dentist
  • Punta Gorda, FL
  • NPI 1750334207
  NPD (past) Authorized official
• Daniel Klein Moenning, DDS

  • Dentist
  • Punta Gorda, FL
  • NPI 1336192483
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891740700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33950",
            "telephone_number": "941-575-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E MARION AVE",
            "address_2": "3RD FLOOR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33950",
            "telephone_number": "941-575-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE DENTAL ASSOC PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOENNING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "WALBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-575-9200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Anthony Hansell, MD
• Rebecca Anne Hansen
• Mark Allan Hanson, DDS
• Harbor Audiology, P.a.
• Harbor View Acres, Inc.
• Harborside Internal Medicine PA
• Harborside Psychiatric Services, LLC
• Harborside Surgery Center, LLC
• Susan M Hardy, LCPC
• Richard Alan Haynes, LPTA

• General Practice Dentistry in Punta Gorda, FL
• Providers in Punta Gorda, 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 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.