James A Ittel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23594 Issued in FL

Practice address

5425 Fruitville Rd Ste 16
Sarasota, FL 34232-6418

Phone

(941) 343-9777

NPI assigned

Jun 27, 2018

Last updated

Jun 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1932694494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102817",
            "telephone_number": "941-914-9181",
            "fax_number": "941-914-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 FRUITVILLE RD STE 16",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326418",
            "telephone_number": "941-343-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5580 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102817",
            "country_code": "US",
            "telephone_number": "941-914-9181",
            "fax_number": "941-914-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITTEL",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Borlongan Isidro, PT
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• Sonya Ivanova, PA-C
• Christopher Ivers, D.C.
• Robert Louis Iverson, M.D.
• Billy E. Ives Jr., PA-C
• Dorothy Izmirlian, D.O.

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.