Organization Active NPI

Vita Dental LLC

  • Dental Clinic/Center
  • Plantation, FL
National Provider Identifier
1710754452
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VITA DENTAL LLC
Practice address
420 NW 74TH Ave
Plantation, FL 33317-1618
Phone
(954) 583-1514
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Rony Arencibia, DMDNPI 1043711716
Title
Owner/Dentist
Phone
(305) 582-8718

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

420 NW 74TH Ave
Plantation, FL 33317-1618

Mailing address

420 NW 74TH Ave
Plantation, FL 33317-1618
Phone (954) 583-1514

National Provider Directory

National Provider Directory

Locations

420 NW 74th Ave
Plantation, FL 33317
Phone (954) 583-1514

Practitioners & affiliated clinicians

Practitioners 2

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": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1710754452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NW 74TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171618",
            "telephone_number": "954-583-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NW 74TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171618",
            "telephone_number": "954-583-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "ARENCIBIA",
        "authorized_official_first_name": "RONY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "305-582-8718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.