Organization Active NPI

Montiel Dental Care P. a

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1942779186
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MONTIEL DENTAL CARE P. A
Practice address
6818 14TH St W
Bradenton, FL 34207-5808
Phone
(941) 782-8058
Fax
(941) 782-8974
NPI assigned
Nov 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Dr. Yuliet Moreno Montiel, DMDNPI 1841786647
Title
Dentist
Phone
(941) 782-8058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6818 14TH St W
Bradenton, FL 34207-5808

Mailing address

7713 34TH CT E
Sarasota, FL 34243-2864
Phone (941) 822-3309

Other identifiers 1

IdentifierTypeStateIssuer
1841786647MedicaidFL

National Provider Directory

National Provider Directory

Locations

6818 14th St W
Bradenton, FL 34207
Phone (941) 782-8058

Practitioners & affiliated clinicians

Practitioners 1

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": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1942779186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 34TH CT E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432864",
            "telephone_number": "941-822-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 14TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342075808",
            "telephone_number": "941-782-8058",
            "fax_number": "941-782-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTIEL DENTAL CARE P. A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "MORENO MONTIEL",
        "authorized_official_first_name": "YULIET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-782-8058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841786647",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.