Individual provider Active NPI

Yaritza Viamonte Montes de Oca, DMD

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1174018626
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23355 Issued in FL
Practice address
5425 Fruitville Rd Ste 16
Sarasota, FL 34232-6418
Phone
(941) 343-9777
Fax
(941) 343-0184
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23355 FL Primary

Addresses

Primary practice location

5425 Fruitville Rd Ste 16
Sarasota, FL 34232-6418

Mailing address

5425 Fruitville Rd Ste 16
Sarasota, FL 34232-6418
Phone (941) 343-9777

Other practice location 1

511 W Brandon Blvd
Brandon, FL 33511-5003
Phone (813) 381-5632

Other practice location 2

7608 Causeway Blvd
Tampa, FL 33619-5912
Phone (813) 397-5300

Other practice location 3

6084 14th St W Ste B5
Bradenton, FL 34207-4104
Phone (941) 727-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181228002488 FL Order and Referring Only - DentistPractitioner - Dentist 0749525384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Meade General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • HealthSun Health Plans Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1174018626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 FRUITVILLE RD STE 16",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326418",
            "telephone_number": "941-343-9777",
            "fax_number": "941-343-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 FRUITVILLE RD STE 16",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326418",
            "telephone_number": "941-343-9777",
            "fax_number": "941-343-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 W Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115003",
            "country_code": "US",
            "telephone_number": "813-381-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7608 Causeway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336195912",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "fax_number": "813-405-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6084 14th St W Ste B5",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342074104",
            "country_code": "US",
            "telephone_number": "941-727-8805",
            "fax_number": "941-727-8525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIAMONTE MONTES DE OCA",
        "first_name": "YARITZA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.