Organization Active NPI

West Bradenton Dental Care PA

Doing business as Gangi Dental Care of Manatee

  • Dentist
  • Bradenton, FL
National Provider Identifier
1982469318
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST BRADENTON DENTAL CARE PA
Doing business as
Gangi Dental Care of Manatee
Practice address
4905 Manatee Ave W
Bradenton, FL 34209-3823
Phone
(941) 932-4309
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Yudancy P Gangi, DDS
Title
Owner, Dentist
Phone
(941) 932-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4905 Manatee Ave W
Bradenton, FL 34209-3823

Mailing address

4905 Manatee Ave W
Bradenton, FL 34209-3823
Phone (941) 932-4309

Other names 1

  • GANGI DENTAL CARE OF MANATEE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1982469318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093823",
            "telephone_number": "941-932-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093823",
            "telephone_number": "941-932-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRADENTON DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "GANGI",
        "authorized_official_first_name": "YUDANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "941-932-4309",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GANGI DENTAL CARE OF MANATEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 15, 2024; 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.