Organization Active NPI

Ascend Dental Goup PA

  • Dental Clinic/Center
  • Pensacola, FL
National Provider Identifier
1902434608
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ASCEND DENTAL GOUP PA
Practice address
4400 Bayou Blvd Ste 44a
Pensacola, FL 32503-1910
Phone
(850) 857-8427
NPI assigned
Mar 29, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Ivan E Terrero, DDSNPI 1720066673
Title
Dentist
Phone
(813) 419-0823

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4400 Bayou Blvd Ste 44a
Pensacola, FL 32503-1910

Mailing address

12608 Biscayne CT
Naples, FL 34105-4936
Phone (813) 419-0823

National Provider Directory

National Provider Directory

Locations

4400 Bayou Blvd
Ste 44A
Pensacola, FL 32503
Phone (850) 474-3854

Practitioners & affiliated clinicians

Practitioners 1

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": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1902434608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12608 BISCAYNE CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341054936",
            "telephone_number": "813-419-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 44A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031910",
            "telephone_number": "850-857-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND DENTAL GOUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "TERRERO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-419-0823",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.