Organization Active NPI

Sapphire Dental Clinic P.a

  • Dental Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1902761885
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SAPPHIRE DENTAL CLINIC P.A
Practice address
3880 W Broward Blvd Ste 4
Fort Lauderdale, FL 33312-1062
Phone
(954) 872-2355
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Diego Viafara Mancilla
Title
General Manager
Phone
(954) 872-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3880 W Broward Blvd Ste 4
Fort Lauderdale, FL 33312-1062

Mailing address

3880 W Broward Blvd Ste 4
Fort Lauderdale, FL 33312-1062
Phone (954) 872-2355

Other names 1

  • Opalo Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3880 W Broward Blvd
Ste 4
Fort Lauderdale, FL 33312
Phone (954) 872-2355

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1902761885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 W BROWARD BLVD STE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121062",
            "telephone_number": "954-872-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 W BROWARD BLVD STE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121062",
            "telephone_number": "954-872-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE DENTAL CLINIC P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "VIAFARA MANCILLA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "954-872-2355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opalo Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.