Active NPI
Ekos BVL, PLLC
Doing business as Dentists of Buena Ventura Lakes
- Dental Clinic/Center
- Kissimmee, FL
National Provider Identifier
1730921271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- EKOS BVL, PLLC
- Doing business as
- Dentists of Buena Ventura Lakes
- Practice address
- 2102 E Osceola Pkwy
Kissimmee, FL 34743-8630 - Phone
- (407) 201-3998
- NPI assigned
- Jun 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Tomalty, D.M.D
- Title
- Owner
- Phone
- (561) 789-6611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2102 E Osceola Pkwy
Kissimmee, FL 34743-8630
Mailing address
8794 Boynton Beach Blvd Ste 218
Boynton Beach, FL 33472-4469
Phone (561) 899-7115
Other names 1
- Dentists of Buena Ventura Lakes
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721088000000",
"number": "1730921271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8794 BOYNTON BEACH BLVD STE 218",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334724469",
"telephone_number": "561-899-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438630",
"telephone_number": "407-201-3998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EKOS BVL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-06",
"last_updated": "2024-07-16",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "TOMALTY",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-789-6611",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentists of Buena Ventura Lakes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.