NPIMap

Organization Active NPI

Moramerc Dental Group LLC

  • General Practice Dentistry
  • Brandon, FL
National Provider Identifier
1033800255
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MORAMERC DENTAL GROUP LLC
Practice address
1254-56 Kingsway Road
Suite 13-14
Brandon, FL 33510
Phone
(754) 265-5528
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Dr. Viviana P Mora, DMDNPI 1811372154
Title
Owner
Phone
(754) 265-5528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1254-56 Kingsway Road
Suite 13-14
Brandon, FL 33510

Mailing address

1254-56 Kingsway Road
Suite 13-14
Brandon, FL 33510
Phone (754) 265-5528

National Provider Directory

National Provider Directory

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": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1033800255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254-56 KINGSWAY ROAD",
            "address_2": "SUITE 13-14",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "754-265-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254-56 KINGSWAY ROAD",
            "address_2": "SUITE 13-14",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "754-265-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAMERC DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "VIVIANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-265-5528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.