Organization Active NPI

Anny B. Vera D.D.S., M.SC., P.a

  • Dentist
  • Daytona Beach, FL
National Provider Identifier
1306142260
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15075 Issued in FL
Legal business name
ANNY B. VERA D.D.S., M.SC., P.A
Practice address
1667 N Clyde Morris Blvd # 1
Daytona Beach, FL 32117-5500
Phone
(386) 274-2021
Fax
(386) 274-1743
NPI assigned
Feb 9, 2011
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Anny B Vera, D.D.S.NPI 1265680706
Title
Owner
Phone
(386) 274-2021

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
Dentist 122300000X DN15075 FL Primary

Addresses

Primary practice location

1667 N Clyde Morris Blvd # 1
Daytona Beach, FL 32117-5500

Mailing address

1667 N Clyde Morris Blvd # 1
Daytona Beach, FL 32117-5500
Phone (386) 274-2021

Other identifiers 1

IdentifierTypeStateIssuer
6482270001OtherFLPTAN NUMBER

National Provider Directory

National Provider Directory

Locations

1667 N Clyde Morris Blvd
#1
Daytona Beach, FL 32117
Phone (386) 274-2021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1306142260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 N CLYDE MORRIS BLVD # 1",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175500",
            "telephone_number": "386-274-2021",
            "fax_number": "386-274-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 N CLYDE MORRIS BLVD # 1",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175500",
            "telephone_number": "386-274-2021",
            "fax_number": "386-274-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNY B. VERA D.D.S., M.SC., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "ANNY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-274-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER",
            "identifier": "6482270001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.