Apopka Modern Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

APOPKA MODERN DENTISTRY LLC

Practice address

3030 E Semoran Blvd Ste 200
Apopka, FL 32703-5976

Phone

(407) 792-2409

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nimish Maniar, DMD

Title

General Dentist

Phone

(407) 413-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1629704218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 MICHIGAN ST",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464602",
            "telephone_number": "954-701-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E SEMORAN BLVD STE 200",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035976",
            "telephone_number": "407-792-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOPKA MODERN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "MANIAR",
        "authorized_official_first_name": "NIMISH",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "407-413-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Apopka, FL
• Providers in Apopka, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.