Vital Dental Center of Coral Springs PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VITAL DENTAL CENTER OF CORAL SPRINGS PLLC

Practice address

7426 Wiles Rd
Coral Springs, FL 33067-2066

Phone

(954) 255-3500

Fax

(954) 255-3515

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Martin A MayaNPI 1790046233

Title

Owner

Phone

(786) 970-9707

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Martin Abraham Maya, DDS

  • Dentist
  • West Melbourne, FL
  • NPI 1790046233
  NPD Authorized official

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1245835719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330685727",
            "telephone_number": "954-975-9779",
            "fax_number": "954-975-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672066",
            "telephone_number": "954-255-3500",
            "fax_number": "954-255-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL DENTAL CENTER OF CORAL SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "MAYA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-970-9707",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.