Anastasia Dental Associates PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ANASTASIA DENTAL ASSOCIATES PLLC

Practice address

3534 A1A S
St Augustine, FL 32080-6899

Phone

(904) 461-5788

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By 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

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Valdes Domingoes, D.M.D.

  • Dentist
  • St Augustine, FL
  • NPI 1699810580
  NPD (past)
• Micheal W Domingoes, D.M.D.

  • Dentist
  • St Augustine, FL
  • NPI 1336284215
  NPD (past)

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1992335004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806899",
            "telephone_number": "904-461-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806899",
            "telephone_number": "904-461-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASTASIA DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Homepatient, Inc.
• Darlene Nicole Amesbury, MS
• Amir a Malik MD PA
• Amnath Kirdnual, M.D., P.a.
• Jacques Howard Amole, DNP, APRN
• Anastasia Family and Urgent Care
• Anastasia Medical Group, LLC
• Anastasia Pediatrics
• Ancient City Acupuncture and Herbal Medicine
• Ancient City Children's Therapy, LLC

• Dentist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.