NPIMap

Organization Active NPI

Vital Dental Center LLC

  • General Practice Dentistry
  • Margate, FL
National Provider Identifier
1700357340
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VITAL DENTAL CENTER LLC
Practice address
279 S State Road 7
Margate, FL 33068-5727
Phone
(954) 975-9779
Fax
(954) 975-9779
NPI assigned
Dec 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Dr. Martin Abraham Maya, DDSNPI 1790046233
Title
Owner
Phone
(954) 975-9779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

279 S State Road 7
Margate, FL 33068-5727

Mailing address

279 S State Road 7
Margate, FL 33068-5727
Phone (954) 975-9779

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": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1700357340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330685727",
            "telephone_number": "954-975-9779",
            "fax_number": "954-975-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330685727",
            "telephone_number": "954-975-9779",
            "fax_number": "954-975-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "MAYA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-975-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.