Rolling Acres Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROLLING ACRES DENTISTRY, PA

Practice address

922 Rolling Acres Road
Suite #2
Lady Lake, FL 32159

Phone

(352) 259-8284

Fax

(352) 259-8217

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Vivek Nerikar, DMD

Title

DMD- Dentist Owner

Phone

(904) 553-4859

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Collins Ross, DMD

  • Dentist
  • Lady Lake, FL
  • NPI 1568434934
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1558901751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NW 138TH TERRACE",
            "address_2": "SUITE 200",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "32669",
            "telephone_number": "352-332-3080",
            "fax_number": "352-333-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 ROLLING ACRES ROAD",
            "address_2": "SUITE #2",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-259-8284",
            "fax_number": "352-259-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING ACRES DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "NERIKAR",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "DMD- DENTIST OWNER",
        "authorized_official_telephone_number": "904-553-4859",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dametre Shavon Roberts, LMT
• Nicole Robinson, HAS
• Ivonne M. Rodriguez-Santiago, PH.D.
• Sandra Lee Rodriguez, DNP, APRN, FNP-BC
• Edgar Graciano Rojas, M.D.
• Ronald B. Moussette DC, PA
• Priyanka Roperia, DMD
• Monica Rae Rortvedt, PA-C
• Marina B Ross
• Mark Collins Ross, DMD

• General Practice Dentistry in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.