Individual provider Active NPI

Ivonne Maritza Vasquez, DDS

  • Dentist
  • North Lauderdale, FL
National Provider Identifier
1245799741
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN26218 Issued in FL
Practice address
7244 W McNab Rd
North Lauderdale, FL 33068-5441
Phone
(954) 341-0002
NPI assigned
Mar 14, 2019
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN26218 FL Primary

Addresses

Primary practice location

7244 W McNab Rd
North Lauderdale, FL 33068-5441

Mailing address

3350 Water Oak Dr
Hollywood, FL 33021-8430
Phone (954) 993-5615

Other practice location 1

3350 Water Oak Dr
Hollywood, FL 33021-8430
Phone (954) 993-5615

Other practice location 2

925 NE 30th Ter Ste 302
Homestead, FL 33033-7614
Phone (305) 246-3800

Other practice location 3

557 NE 81st St
Miami, FL 33138-4519
Phone (305) 456-2680

Other practice location 4

17037 S Dixie Hwy
Palmetto Bay, FL 33157-4362
Phone (786) 732-0802

Other practice location 5

18244 NW 27th Ave
Miami Gardens, FL 33056-3501
Phone (305) 454-0911

Other practice location 6

1440 NW North River Dr Ste 345
Miami, FL 33125-2894
Phone (786) 353-9887

Other practice location 7

9075 SW 162nd Ave Ste 110&112
Miami, FL 33196-6437
Phone (305) 456-8314

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

LicenseStateTypeSpecialty
DN26218FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Center of North Lauderdale CurrentSince Oct 13, 2024 Accepting new patients
Pediatric Dental Center of Gardens Inc PastSince Nov 1, 2020 Accepting new patients
Pediatric Dental Center of Palmetto Bay Inc PastSince Apr 20, 2021 Accepting new patients
Pediatric Dental Center of River Landing PastSince Apr 20, 2021 Accepting new patients
Pediatric Dental Center of West Kendall Inc PastSince Apr 20, 2021 Accepting new patients
Faculty Associates, Inc Past Accepting new patients
Pediatric Dental Center of Homestead Past Accepting new patients

Locations

7244 W McNab Rd
North Lauderdale, FL 33068
Phone (954) 341-0002

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1245799741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 WATER OAK DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218430",
            "telephone_number": "954-993-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685441",
            "telephone_number": "954-341-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Water Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218430",
            "country_code": "US",
            "telephone_number": "954-993-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 NE 30th Ter Ste 302",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337614",
            "country_code": "US",
            "telephone_number": "305-246-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 NE 81st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331384519",
            "country_code": "US",
            "telephone_number": "305-456-2680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17037 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331574362",
            "country_code": "US",
            "telephone_number": "786-732-0802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18244 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330563501",
            "country_code": "US",
            "telephone_number": "305-454-0911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 NW North River Dr Ste 345",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331252894",
            "country_code": "US",
            "telephone_number": "786-353-9887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9075 SW 162nd Ave Ste 110&112",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331966437",
            "country_code": "US",
            "telephone_number": "305-456-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "IVONNE",
        "middle_name": "MARITZA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.