Active NPI
New Roots Dentistry LLC
- Dental Clinic/Center
- Ormond Beach, FL
National Provider Identifier
1336849025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yesell Candelario-Benitez, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Hollywood, FL
- NPI 1487000998
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.