Docs Dental PR, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DOCS DENTAL PR, PC

Doing business as

DOCS Ft Buchanan

Practice address

606 Building Deport Rd
Ft.Buchanan, PR 00934

Phone

(813) 451-4503

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

DOCS DENTAL PR, PCAs reported in NPPES

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

Authorized official

Name

Amanda A Clark

Title

Director of Credentiaing

Phone

(813) 451-4503

Specialties & licenses 1

Addresses

Other names 1

• DOCS Ft Buchanan Doing business as

Part of

Docs Dental PR PC

Locations

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1902487655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 EASTON RD",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471810",
            "telephone_number": "813-451-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BUILDING DEPORT RD",
            "city": "FT.BUCHANAN",
            "state": "PR",
            "postal_code": "00934",
            "telephone_number": "813-451-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCS DENTAL PR, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCS DENTAL PR, PC",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIAING",
        "authorized_official_telephone_number": "813-451-4503"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCS Ft Buchanan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.