Organization Active NPI

Oliverllavona LLC

  • Periodontics
  • Weston, FL
National Provider Identifier
1922554708
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN17440 Issued in FL
Legal business name
OLIVERLLAVONA LLC
Practice address
2575 Glades Cir
Suite 3
Weston, FL 33327-2254
Phone
(954) 349-4993
Fax
(954) 349-4808
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Miss Dana Romanowski
Title
Office Manager
Phone
(954) 349-4993

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DN17469 FL
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DN17440 FL Primary

Addresses

Primary practice location

2575 Glades Cir
Suite 3
Weston, FL 33327-2254

Mailing address

2575 Glades Cir
Suite 3
Weston, FL 33327-2254
Phone (954) 349-4993

Other names 1

  • Dental Specialists of Weston Doing business as

National Provider Directory

National Provider Directory

Locations

2575 Glades Cir
Ste 3
Weston, FL 33327
Phone (954) 349-4993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1922554708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 GLADES CIR",
            "address_2": "SUITE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272254",
            "telephone_number": "954-349-4993",
            "fax_number": "954-349-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 GLADES CIR",
            "address_2": "SUITE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272254",
            "telephone_number": "954-349-4993",
            "fax_number": "954-349-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERLLAVONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "ROMANOWSKI",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-349-4993",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN17469",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialists of Weston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.