Aventura Pediatric Debtistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

11641 Issued in FL

Legal business name

AVENTURA PEDIATRIC DEBTISTRY, LLC

Practice address

2797 NE 207TH St
Suite 201
Aventura, FL 33180-1471

Phone

(305) 935-1613

Fax

(305) 935-4258

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ricky A Mars, DDS

Title

President

Phone

(305) 935-1613

Specialties & licenses 1

Addresses

Tax ID family

Aventura Pediatric Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aventura Pediatric Dentistry LLC

  • Dentist
  • Aventura, FL
  • NPI 1225142748
  NPD tax ID

Locations

Practitioners 2

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

• Jack Berne, DDS

  • Pediatric Dentistry
  • Aventura, FL
  • NPI 1538226915
  NPD (past)
• Alicia A King, DMD

  • Pediatric Dentistry
  • Weston, FL
  • NPI 1134503428
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689681397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 NE 207TH ST",
            "address_2": "SUITE 201",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801471",
            "telephone_number": "305-935-1613",
            "fax_number": "305-935-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 NE 207TH ST",
            "address_2": "SUITE 201",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801471",
            "telephone_number": "305-935-1613",
            "fax_number": "305-935-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA PEDIATRIC DEBTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-935-1613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "11641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aventura Neurosurgery LLC
• Aventura OB-GYN Specialists, P.a.
• Aventura Orthopaedics and Sports Medicine, P.a.
• Aventura Orthopedicare Center PA
• Aventura Pediatric Center
• Aventura Pediatric Dentistry LLC
• Aventura Podiatry Associates PA
• Aventura Regents Opco LLC
• Aventura Sa Tenant Opco LLC
• Aventura Sleep LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.