Organization Active NPI

Dental Arts St Pete Beach P.a.

  • General Practice Dentistry
  • St Pete Beach, FL
National Provider Identifier
1922511237
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18840 Issued in FL
Legal business name
DENTAL ARTS ST PETE BEACH P.A.
Practice address
511 76TH Ave
St Pete Beach, FL 33706-1805
Phone
(727) 367-1551
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Andrew Crouch
Title
Business Manager
Phone
(321) 872-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN18840 FL Primary

Addresses

Primary practice location

511 76TH Ave
St Pete Beach, FL 33706-1805

Mailing address

511 76TH Ave
St Pete Beach, FL 33706-1805
Phone (727) 367-1551

National Provider Directory

National Provider Directory

Locations

511 76th Ave
St Pete Beach, FL 33706
Phone (727) 220-2858

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1922511237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 76TH AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061805",
            "telephone_number": "727-367-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 76TH AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061805",
            "telephone_number": "727-367-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS ST PETE BEACH P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "321-872-8820"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pete Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.