NPIMap

Organization Active NPI

Manatee Dental PA

  • Dentist
  • Bradenton, FL
National Provider Identifier
1902070899
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13483 Issued in FL
Legal business name
MANATEE DENTAL PA
Practice address
3805 St Rd 64 E
Bradenton, FL 34208
Phone
(941) 747-4000
Fax
(941) 714-0403
NPI assigned
Apr 22, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Dennis Anthony Corona, DDSNPI 1093710436
Title
Dentist Owner
Phone
(941) 747-4000

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 DN13483 FL Primary

Addresses

Primary practice location

3805 St Rd 64 E
Bradenton, FL 34208

Mailing address

3805 St Rd 64 E
Bradenton, FL 34208
Phone (941) 747-4000

National Provider Directory

National Provider Directory

Locations

3805 E State Road 64
Bradenton, FL 34208
Phone (727) 867-4061

Practitioners & affiliated clinicians

Practitioners 2

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1902070899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 ST RD 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-747-4000",
            "fax_number": "941-714-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 ST RD 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-747-4000",
            "fax_number": "941-714-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "941-747-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13483",
            "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 Jul 9, 2008; 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.