Vanessa Johanna De Vera, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN18847 Issued in FL

Practice address

833 North Homestead Blvd
Apartment # 601
Homestead, FL 33030-3104

Phone

(305) 245-3247

NPI assigned

Jan 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1699006072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 SW 103RD ST",
            "address_2": "APARTMENT # 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562437",
            "telephone_number": "786-200-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTH HOMESTEAD BLVD",
            "address_2": "APARTMENT # 601",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303104",
            "telephone_number": "305-245-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "VANESSA",
        "middle_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daylin De Leon
• Jose O De Los Santos, MD
• Christine Manika De Mel, MSW
• Michely De Oliveira
• Lazaro F De Paz Perez, REGISTERED NURSE
• Silvia De Wynne, LAC, AP
• Dealing With Life MH Therapy Counseling Practice
• Sheila M Debow
• Julien Decoste, RRT
• Yailen Degado

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.