Organization Active NPI

Dentalvana Sara LLC

  • Dentist
  • Sarasota, FL
National Provider Identifier
1003637752
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTALVANA SARA LLC
Practice address
1280 N Palm Ave
Sarasota, FL 34236-5604
Phone
(941) 233-5555
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Julia Bewley, DMD
Title
Owner
Phone
(305) 504-1905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1280 N Palm Ave
Sarasota, FL 34236-5604

Mailing address

1280 N Palm Ave
Sarasota, FL 34236-5604
Phone (941) 233-5555

Other names 1

  • DENTALVANA Doing business as

National Provider Directory

National Provider Directory

Locations

1280 N Palm Ave
Sarasota, FL 34236
Phone (561) 578-2285

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1003637752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N PALM AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365604",
            "telephone_number": "941-233-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N PALM AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365604",
            "telephone_number": "941-233-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALVANA SARA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "BEWLEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-504-1905",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTALVANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.