Vibrant Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

VIBRANT ORTHODONTICS, PLLC

Practice address

1350 Thomaswood Dr
Tallahassee, FL 32308-7914

Phone

(850) 385-8101

NPI assigned

Nov 12, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryam Rezaie, DMDNPI 1467781443

Title

Owner/President

Phone

(850) 385-8101

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryam Rezaie, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pensacola, FL
  • NPI 1467781443
  NPD Authorized official
• Daniel Bryan Snead

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tallahassee, FL
  • NPI 1467548768
  NPD (past)

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1144986316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 THOMASWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087914",
            "telephone_number": "850-385-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 THOMASWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087914",
            "telephone_number": "850-385-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "REZAIE",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-385-8101",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Wayne Vermeer, M.D.
• David Vermess, M.D.
• Raymond Lucien Verrier, D.C.
• Zachary Raymon Verrier, D.C.
• Cassidy Vescelus, PT, DPT
• Randi B Vicente
• Florence Vicil, CEP
• Aysha Vickers
• Brionna Vickers, DPT
• Randall Steven Vickers, M.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.