Vivian Medina D.D.S P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VIVIAN MEDINA D.D.S P.A.

Practice address

15711 Mapledale Dr
Suite B
Tampa, FL 33624-3112

Phone

(813) 264-0286

Fax

(813) 960-4667

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Vivian Medina, D.D.S

Title

Dentist

Phone

(813) 264-0286

Specialties & licenses 1

Addresses

Other names 1

• MEDINAPONCE&PONCE D.D.S,P.A Other name

Tax ID family

Medinaponceponce Ddspa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vivian Medina DDS PA

  • Dentist
  • Tampa, FL
  • NPI 1316295223
  NPD tax ID

Practitioners 1

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

• Rolando Ponce, D.D.S.

  • Dentist
  • Tampa, FL
  • NPI 1841213808
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295815322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15711 MAPLEDALE DR",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243112",
            "telephone_number": "813-264-0286",
            "fax_number": "813-960-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15711 MAPLEDALE DR",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243112",
            "telephone_number": "813-264-0286",
            "fax_number": "813-960-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN MEDINA D.D.S P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-264-0286",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDINAPONCE&PONCE D.D.S,P.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Javier Andres Vitos Garcia, RBT
• Elena Vitug
• Viva Home Health Care Inc
• Viva Smiles Dental, PLLC
• Vivant Medical Group LLC
• Vivian Medina DDS PA
• Vivify Plastic Surgery LLC
• Isabella Vivino
• Sara Caridad Vizcay, MD
• Lindsay Vizzi, M.S. CCC-SLP

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.