Ivan Enrique Zamora, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

15258 Issued in FL

Practice address

4987 Ringwood MDW
Sarasota, FL 34235-2033

Phone

(941) 377-3659

Fax

(941) 378-0893

NPI assigned

Mar 16, 2009

Sex

Male

Sole proprietor

No

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.

• Davenport Dental Associates LLC

  • Dental Clinic/Center
  • Davenport, FL
  • NPI 1508522368
  NPD Authorized official
• Meadows Dental Associates

  • General Practice Dentistry
  • Sarasota, FL
  • NPI 1992979330
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2021.

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1881835262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 SW 40TH ST",
            "address_2": "SUITE 7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555233",
            "telephone_number": "305-665-6564",
            "fax_number": "305-665-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 RINGWOOD MDW",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342352033",
            "telephone_number": "941-377-3659",
            "fax_number": "941-378-0893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378990",
            "country_code": "US",
            "telephone_number": "863-256-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 SW 40th St",
            "address_2": "suite 7",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331555233",
            "country_code": "US",
            "telephone_number": "305-665-6564",
            "fax_number": "305-665-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "IVAN",
        "middle_name": "ENRIQUE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "15258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Spivey Zaleski, APRN
• Oleg Zaluzhny, PA
• Marie Zambelli, NP
• Ariel Zamir, OTR
• Isaac Zamora, MD
• Jessie Zamora, LMHC
• Laura Zane, LMHC
• Tamilynn Irene Zanon, LMHC
• Susan Page Zapatha, LMHC
• Agnieszka Zaporowska, APRN

• All providers in Sarasota, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.