Keith Lawrence Vevera, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13762 Issued in FL

Practice address

7602 W Sand Lake Rd
Orlando, FL 32819-5112

Phone

(407) 826-1234

Fax

(407) 826-1234

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Orlando Friendly Dentistsry

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1235537036
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1275632622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195112",
            "telephone_number": "407-826-1234",
            "fax_number": "407-826-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195112",
            "telephone_number": "407-826-1234",
            "fax_number": "407-826-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEVERA",
        "first_name": "KEITH",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "56776",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "836728",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Verty
• John J Ververis, MD
• Daniel Vesco, DO
• Norma Vestal, ARNP
• Charles H Veurink, M.D.
• VH Health Solutions LLC
• Ashley Marie Via, COTA/L
• Juan Pablo Via
• Maria Carolina Viado, PT
• Samantha Viana, DPT

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, 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 Apr 8, 2014; 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.