Marisabel Olivera, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 18784 Issued in FL

Practice address

4800 NE 20TH Ter
Suite 301
Fort Lauderdale, FL 33308-4510

Phone

(954) 727-9865

Fax

(954) 727-9904

NPI assigned

May 23, 2011

Last updated

May 23, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marisabel Olivera, DMD, PA

  • Pediatric Dentistry
  • Fort Lauderdale, FL
  • NPI 1013446301
  NPD (past) Authorized official
• Alkhadra DDS, P.a.

  • Pediatric Dentistry
  • Fort Lauderdale, FL
  • NPI 1194050690
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1750674891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 NW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293117",
            "telephone_number": "954-253-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-727-9865",
            "fax_number": "954-727-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERA",
        "first_name": "MARISABEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 18784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Aesthetics and Infusions LLC (Livewell Medical)
• Paulo Artur Oliveira, DDS
• Sarah Ann Oliver
• Noaris Olivera Hernandez
• Elizabeth Kay Olivera, M.D.
• Genesis Sarah Olivier
• Yvrose Olivier, NP
• Alicia Olivieri, LMHC
• Robert S. Oller, D.O.
• Melba Olmeda, B.A M.A. A.A.S

• Pediatric Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.