Organization Active NPI

Kingswaydentalcare Inc.

  • General Practice Dentistry
  • Port Charlotte, FL
National Provider Identifier
1942334651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12356 Issued in FL
Legal business name
KINGSWAYDENTALCARE INC.
Practice address
2200 Kings Hwy
# 3 - 1
Port Charlotte, FL 33980-5759
Phone
(941) 624-3550
Fax
(941) 955-5270
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew J. Martineau, DMD
Title
Director
Phone
(941) 624-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN12356 FL Primary

Addresses

Primary practice location

2200 Kings Hwy
# 3 - 1
Port Charlotte, FL 33980-5759

Mailing address

943 S Beneva Rd
Suite 310
Sarasota, FL 34232-2476
Phone (941) 957-3703

National Provider Directory

National Provider Directory

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942334651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD",
            "address_2": "SUITE 310",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322476",
            "telephone_number": "941-957-3703",
            "fax_number": "941-955-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY",
            "address_2": "# 3 - 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805759",
            "telephone_number": "941-624-3550",
            "fax_number": "941-955-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAYDENTALCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-624-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.