Organization Active NPI

Smile Viera

  • Dentist
  • Rockledge, FL
National Provider Identifier
1225573066
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE VIERA
Practice address
5455 Murrell Rd Ste 108
Rockledge, FL 32955-6615
Phone
(321) 631-9395
Fax
(321) 632-8581
NPI assigned
Jan 4, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Asheley Jordan
Title
Insurance and Billing Coordinator
Phone
(321) 631-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X FL Primary

Addresses

Primary practice location

5455 Murrell Rd Ste 108
Rockledge, FL 32955-6615

Mailing address

5455 Murrell Rd Ste 108
Rockledge, FL 32955-6615
Phone (321) 631-9395

National Provider Directory

National Provider Directory

Locations

5455 Murrell Rd
Ste 108
Viera, FL 32955
Phone (321) 631-9395

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1225573066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 MURRELL RD STE 108",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556615",
            "telephone_number": "321-631-9395",
            "fax_number": "321-632-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 MURRELL RD STE 108",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556615",
            "telephone_number": "321-631-9395",
            "fax_number": "321-632-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE VIERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ASHELEY",
        "authorized_official_title_or_position": "INSURANCE AND BILLING COORDINATOR",
        "authorized_official_telephone_number": "321-631-9395"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.