Onsite Dental Response LLC.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ONSITE DENTAL RESPONSE LLC.

Practice address

1205 N.Dixie Hwy.
Lake Worth, FL 33460-2122

Phone

(561) 802-4446

Fax

(561) 802-9997

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Anthony Demere

Title

President

Phone

(561) 802-4446

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1972752830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N.DIXIE HWY.",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602122",
            "telephone_number": "561-802-4446",
            "fax_number": "561-802-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N.DIXIE HWY.",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602122",
            "telephone_number": "561-802-4446",
            "fax_number": "561-802-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE DENTAL RESPONSE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "DEMERE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-802-4446"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.