NPIMap

Organization Active NPI

Josephwarehamdmdpa

  • Dental Clinic/Center
  • Riverview, FL
National Provider Identifier
1962849257
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN18586 Issued in FL
Legal business name
JOSEPHWAREHAMDMDPA
Practice address
13431 Boyette Rd
Riverview, FL 33569-5710
Phone
(813) 419-0880
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Dr. Joseph P Wareham, DMD
Title
President
Phone
(240) 682-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN18586 FL Primary

Addresses

Primary practice location

13431 Boyette Rd
Riverview, FL 33569-5710

Mailing address

13431 Boyette Rd
Riverview, FL 33569-5710
Phone (813) 419-0880

Other names 1

  • Cherry Blossom Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

13431 Boyette Rd
Riverview, FL 33569
Phone (813) 419-0880

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1962849257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695710",
            "telephone_number": "813-419-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13431 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695710",
            "telephone_number": "813-419-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHWAREHAMDMDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "WAREHAM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-682-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Blossom Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.