Organization Active NPI

Dental Buddies of Vero Beach

  • Pediatric Dentistry
  • Vero Beach, FL
National Provider Identifier
1023602315
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DENTAL BUDDIES OF VERO BEACH
Practice address
3755 7TH Ter Ste 303
Vero Beach, FL 32960-6547
Phone
(772) 226-6888
NPI assigned
Feb 26, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Shirley Maysonet
Title
Business Manager
Phone
(772) 569-4118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3755 7TH Ter Ste 303
Vero Beach, FL 32960-6547

Mailing address

3755 7TH Ter Ste 303
Vero Beach, FL 32960-6547
Phone (772) 226-6888

National Provider Directory

National Provider Directory

Locations

3755 7th Ter
Ste 303
Vero Beach, FL 32960
Phone (772) 226-6888

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1023602315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 7TH TER STE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606547",
            "telephone_number": "772-226-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 7TH TER STE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606547",
            "telephone_number": "772-226-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BUDDIES OF VERO BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "MAYSONET",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "772-569-4118"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.