Vivify Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME134199 Issued in FL

Legal business name

VIVIFY PLASTIC SURGERY LLC

Practice address

1000 W Kennedy Blvd
Suite 202
Tampa, FL 33606-2494

Phone

(406) 848-4391

Fax

(509) 323-1607

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dallas R. Buchanan, MD

Title

Owner/Provider

Phone

(833) 284-8439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1073093175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KENNEDY BLVD STE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061940",
            "telephone_number": "406-848-4391",
            "fax_number": "509-323-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KENNEDY BLVD",
            "address_2": "SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062494",
            "telephone_number": "406-848-4391",
            "fax_number": "509-323-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIFY PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "833-284-8439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME134199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viva Home Health Care Inc
• Viva Smiles Dental, PLLC
• Vivant Medical Group LLC
• Vivian Medina D.D.S P.a.
• Vivian Medina DDS PA
• Isabella Vivino
• Sara Caridad Vizcay, MD
• Lindsay Vizzi, M.S. CCC-SLP
• Luminita Vladutu, MD
• VMD Primary Providers Central Florida PLLC

• Plastic and Reconstructive Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.