Palm Bay Dental Center PA

Primary specialty

DentistTaxonomy code 122300000X

License

FL011148 Issued in FL

Legal business name

PALM BAY DENTAL CENTER PA

Practice address

1764 Palm Bay Road NE
Palm Bay, FL 32905-2904

Phone

(321) 725-5512

Fax

(321) 725-5592

NPI assigned

Nov 30, 2006

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Subhash Ganpat Rege, DDSNPI 1558602169

Title

President

Phone

(321) 725-5512

Specialties & licenses 1

Addresses

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.

• Subhash G Rege, M.D.S

  • General Practice Dentistry
  • Palm Bay, FL
  • NPI 1558602169
  Authorized official Same address or phone

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1932276268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 PALM BAY ROAD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052904",
            "telephone_number": "321-725-5512",
            "fax_number": "321-725-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 PALM BAY ROAD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052904",
            "telephone_number": "321-725-5512",
            "fax_number": "321-725-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BAY DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "REGE",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_middle_name": "GANPAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-725-5512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisse Padron, MD
• Arlene Pagan-Palermo, PTA
• Carmen Judith Pagan, M.D.
• Palm Bay Anesthesia Associates PA
• Palm Bay Chiropractic and Wellness, PLLC (Melbourne Chiropractic Spine and Injury Center)
• Palm Bay FL Opco LLC
• Palm Bay Health Care Associates LLC (Palms Rehabilitation and Healthcare Center, The)
• Palm Bay Hearing Aid Center
• Palm Bay Hospital, Inc.
• Palm Bay Medical Associates, LLC

• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.