NPIMap

Organization Active NPI

Timothy S Salib DMD PA

Doing business as Veranda Family Dentistry

  • General Practice Dentistry
  • Port St Lucie, FL
National Provider Identifier
1700543378
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TIMOTHY S SALIB DMD PA
Doing business as
Veranda Family Dentistry
Practice address
718 SE Becker Rd
Port St. Lucie, FL 34984
Phone
(772) 336-2300
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Dr. Timothy S Salib, DMDNPI 1629233481
Title
President
Phone
(321) 759-1462

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

718 SE Becker Rd
Port St. Lucie, FL 34984

Mailing address

718 SE Becker Rd
Port St. Lucie, FL 34984
Phone (772) 336-2300

Other names 1

  • VERANDA FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

718 SE Becker Rd
Port St Lucie, FL 34984
Phone (772) 336-2300

Practitioners & affiliated clinicians

Practitioners 3

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": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1700543378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SE BECKER RD",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34984",
            "telephone_number": "772-336-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SE BECKER RD",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34984",
            "telephone_number": "772-336-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY S SALIB DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-759-1462",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "VERANDA FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.