Active NPI
Chain of Lakes Dental PA
- General Practice Dentistry
- Windermere, FL
National Provider Identifier
1639719859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CHAIN OF LAKES DENTAL PA
- Practice address
- 1805 Maguire Road
Suite 159
Windermere, FL 34786 - Phone
- (407) 876-6708
- Fax
- (407) 217-5921
- NPI assigned
- Jan 15, 2020
- 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
- Vivek Nerikar, DMD
- Title
- DMD- Dentist Owner
- Phone
- (904) 553-4859
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1805 Maguire Road
Suite 159
Windermere, FL 34786
Mailing address
175 NW 138TH Terrace
Suite 200
Jonesville, FL 32669
Phone (352) 332-3080
National Provider Directory
National Provider DirectoryLocations
1805 Maguire Rd
Ste 159
Windermere, FL 34786
Phone (407) 876-6708
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": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579046400000",
"number": "1639719859",
"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": "1805 MAGUIRE ROAD",
"address_2": "SUITE 159",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "34786",
"telephone_number": "407-876-6708",
"fax_number": "407-217-5921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAIN OF LAKES DENTAL 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": []
}
Other providers in Windermere, FL
Sources for this page
- 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.