NPIMap

Organization Active NPI

Siesta Dental LLC

  • Dentist
  • Osprey, FL
National Provider Identifier
1235090366
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SIESTA DENTAL LLC
Practice address
416 S Tamiami TRL Ste F1
Osprey, FL 34229-9206
Phone
(407) 375-9838
Fax
(941) 761-6529
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Dr. Mariano De la Riva, DDSNPI 1821394446
Title
President
Phone
(407) 375-9838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

416 S Tamiami TRL Ste F1
Osprey, FL 34229-9206

Mailing address

416 S Tamiami TRL Ste F1
Osprey, FL 34229-9206
Phone (407) 375-9838

National Provider Directory

National Provider Directory

Locations

416 S Tamiami Trl
Ste F1
Osprey, FL 34229
Phone (407) 375-9838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1235090366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S TAMIAMI TRL STE F1",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299206",
            "telephone_number": "407-375-9838",
            "fax_number": "941-761-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S TAMIAMI TRL STE F1",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299206",
            "telephone_number": "407-375-9838",
            "fax_number": "941-761-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIESTA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "DE LA RIVA",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-375-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.