NPIMap

Organization Active NPI

Neola Dental LLC

  • General Practice Dentistry
  • Minneola, FL
National Provider Identifier
1508618521
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEOLA DENTAL LLC
Practice address
825 S US Highway 27 Ste 104
Minneola, FL 34715-2707
Phone
(352) 717-2177
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Dr. Josaida Contreras, DDSNPI 1891313821
Title
Ceo
Phone
(352) 717-2177

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

825 S US Highway 27 Ste 104
Minneola, FL 34715-2707

Mailing address

825 S US Highway 27 Ste 104
Minneola, FL 34715-2707
Phone (352) 717-2177

National Provider Directory

National Provider Directory

Locations

825 S US Highway 27
Ste 104
Minneola, FL 34715
Phone (352) 717-2177

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": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1508618521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S US HIGHWAY 27 STE 104",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347152707",
            "telephone_number": "352-717-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S US HIGHWAY 27 STE 104",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347152707",
            "telephone_number": "352-717-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOLA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "JOSAIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-717-2177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.