Jose Raul Venegas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16472 Issued in FL

Practice address

28315 S Tamiami TRL
Suite 102
Bonita Springs, FL 34134-3209

Phone

(239) 949-1655

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1881706802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28315 S TAMIAMI TRL",
            "address_2": "SUITE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343209",
            "telephone_number": "239-949-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28315 S TAMIAMI TRL",
            "address_2": "SUITE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343209",
            "telephone_number": "239-949-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Van Shaar
• Sarah Elizabeth Vanderbosch, D.M.D.
• Marlee Vause, PA-C
• Louis A Vazquez
• Vein Specialists
• Alberto Francisco Vera, M.D.
• Osmar Alejandro Vidaillet
• Patricia Villahermosa Velasqu
• Claudia Sophia Villanueva, DDS
• Vision Unlimited PA

• General Practice Dentistry in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.