Active NPI
Vivian Manjarres, D.D.S
- Endodontics
- Miami Lakes, FL
National Provider Identifier
1073747333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN18606
- Practice address
- 7735 NW 146TH St
Miami Lakes, FL 33016-1581 - Phone
- (305) 556-7010
- Fax
- (305) 231-3984
- NPI assigned
- May 14, 2009
- Last updated
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN18606 | FL | Primary |
Addresses
Primary practice location
7735 NW 146TH St
Miami Lakes, FL 33016-1581
Mailing address
2882 SW 175TH Ave
Miramar, FL 33029-5553
Phone (954) 437-4720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18606 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1073747333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2882 SW 175TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295553",
"telephone_number": "954-437-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7735 NW 146TH ST",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161581",
"telephone_number": "305-556-7010",
"fax_number": "305-231-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANJARRES",
"first_name": "VIVIAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN18606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.