Organization Active NPI

Bruce Waterman DMD, Sleep Ez,PL

  • Dental Clinic/Center
  • Brandon, FL
National Provider Identifier
1902220320
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN9391 Issued in FL
Legal business name
BRUCE WATERMAN DMD, SLEEP EZ,PL
Practice address
127 Kingsway Rd
Brandon, FL 33510-4601
Phone
(813) 689-8462
Fax
(813) 684-5665
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Dr. Bruce Donald Waterman, DMD
Title
President
Phone
(813) 689-8462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN9391 FL Primary

Addresses

Primary practice location

127 Kingsway Rd
Brandon, FL 33510-4601

Mailing address

127 Kingsway Rd
Brandon, FL 33510-4601
Phone (813) 689-8462

National Provider Directory

National Provider Directory

Locations

127 Kingsway Rd
Brandon, FL 33510
Phone (813) 681-5531

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1902220320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGSWAY RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104601",
            "telephone_number": "813-689-8462",
            "fax_number": "813-684-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 KINGSWAY RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104601",
            "telephone_number": "813-689-8462",
            "fax_number": "813-684-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE WATERMAN DMD, SLEEP EZ,PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-689-8462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN9391",
            "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 Jun 27, 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.