Organization Active NPI

Sonriesza Enterprises LLC

Doing business as Venice Village Dental

  • General Practice Dentistry
  • Venice, FL
National Provider Identifier
1609164011
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15792 Issued in FL
Legal business name
SONRIESZA ENTERPRISES LLC
Doing business as
Venice Village Dental
Practice address
4153 Unit B South Tamiami Trail
Venice, FL 34293
Phone
(941) 408-7645
Fax
(941) 408-7660
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Timothy Keith Riesz, DMDNPI 1962427567
Title
President
Phone
(941) 408-7645

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN15792 FL Primary

Addresses

Primary practice location

4153 Unit B South Tamiami Trail
Venice, FL 34293

Mailing address

4153 Unit B South Tamiami Trail
Venice, FL 34293
Phone (941) 408-7645

Other names 1

  • Venice Village Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4153 S Tamiami Trl
Unit B
Venice, FL 34293
Phone (941) 408-7645

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": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1609164011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 UNIT B SOUTH TAMIAMI TRAIL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34293",
            "telephone_number": "941-408-7645",
            "fax_number": "941-408-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 UNIT B SOUTH TAMIAMI TRAIL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34293",
            "telephone_number": "941-408-7645",
            "fax_number": "941-408-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRIESZA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "RIESZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-408-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venice Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.