Stormie Eve Futch

Primary specialty

DentistTaxonomy code 122300000X

License

DN27726 Issued in FL

Practice address

4901 White Ibis Dr
North Port, FL 34287-2641

Phone

(941) 257-8555

NPI assigned

Apr 3, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rudy Carballo DDS PA

  • General Practice Dentistry
  • North Port, FL
  • NPI 1801765813
  NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1972208684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 WHITE IBIS DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872641",
            "telephone_number": "941-257-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 WHITE IBIS DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872641",
            "telephone_number": "941-257-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTCH",
        "first_name": "STORMIE",
        "middle_name": "EVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care North Port, LLC
• Sierra Froh
• Amanda E Frusco
• Deborah Fuentes, LM, CPM
• Chyrell Furog
• Alyssa Gaitan
• Richard Carl Gaitan
• Jorge Gallardo Alfonso
• Makenzie Gammons
• Yaniris Garcia-Jerez

• Dentist in North Port, FL
• Providers in North Port, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.