Organization Active NPI

Vevera Family Dentistry

  • General Practice Dentistry
  • Melbourne, FL
National Provider Identifier
1649615550
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13762 Issued in FL
Legal business name
VEVERA FAMILY DENTISTRY
Practice address
2301 W Eau Gallie Blvd
Suite 102
Melbourne, FL 32935-3120
Phone
(321) 622-8711
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Dr. Keith Vevera
Title
President
Phone
(321) 622-8711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN13762 FL Primary

Addresses

Primary practice location

2301 W Eau Gallie Blvd
Suite 102
Melbourne, FL 32935-3120

Mailing address

2301 W Eau Gallie Blvd
Suite 102
Melbourne, FL 32935-3120
Phone (321) 622-8711

National Provider Directory

National Provider Directory

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": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1649615550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W EAU GALLIE BLVD",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353120",
            "telephone_number": "321-622-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W EAU GALLIE BLVD",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353120",
            "telephone_number": "321-622-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEVERA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "VEVERA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-622-8711",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.