Active NPI
Sapphire Dental Clinic P.a
- Dental Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1902761885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.