Active NPI
Lesly Viera, DMD
- General Practice Dentistry
- Boca Raton, FL
National Provider Identifier
1881187300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23423
- Practice address
- 9878 Clint Moore Rd Ste 200
Boca Raton, FL 33496-1037 - Phone
- (561) 852-7773
- NPI assigned
- Jun 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23423 | FL | Primary |
Addresses
Primary practice location
9878 Clint Moore Rd Ste 200
Boca Raton, FL 33496-1037
Mailing address
9878 Clint Moore Rd Ste 200
Boca Raton, FL 33496-1037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23423 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TDC Boca Raton, LLC | Current | Accepting new patients |
Locations
9878 Clint Moore Rd
Ste 200
Boca Raton, FL 33496
Phone (561) 852-7773
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1881187300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9878 CLINT MOORE RD STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9878 CLINT MOORE RD STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961037",
"telephone_number": "561-852-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERA",
"first_name": "LESLY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-09",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "23423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.