Organization Active NPI

New Roots Dentistry LLC

  • Dental Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1336849025
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEW ROOTS DENTISTRY LLC
Practice address
198 S Nova Rd
Ormond Beach, FL 32174-6115
Phone
(786) 307-8655
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Yesell Candelario-Benitez, DDSNPI 1487000998
Title
Owner
Phone
(786) 307-8655

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

198 S Nova Rd
Ormond Beach, FL 32174-6115

Mailing address

198 S Nova Rd
Ormond Beach, FL 32174-6115
Phone (786) 307-8655

National Provider Directory

National Provider Directory

Locations

198 S Nova Rd
Ormond Beach, FL 32174
Phone (786) 307-8655

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1336849025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746115",
            "telephone_number": "786-307-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746115",
            "telephone_number": "786-307-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROOTS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO-BENITEZ",
        "authorized_official_first_name": "YESELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-307-8655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.