Organization Active NPI

Ekos Ventura, PLLC

Doing business as Ventura Dental

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1043041288
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EKOS VENTURA, PLLC
Doing business as
Ventura Dental
Practice address
2615 Simpson Rd
Kissimmee, FL 34744-4675
Phone
(321) 351-2294
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Giovanna Dejesus
Title
Operations
Phone
(561) 899-7115

Specialties & licenses 1

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

Addresses

Primary practice location

2615 Simpson Rd
Kissimmee, FL 34744-4675

Mailing address

8794 Boynton Beach Blvd Ste 218
Boynton Beach, FL 33472-4469

Other names 1

  • Ventura Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2615 Simpson Rd
Kissimmee, FL 34744
Phone (321) 351-2294

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1043041288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD STE 218",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444675",
            "telephone_number": "321-351-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKOS VENTURA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "561-899-7115"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.