Organization Active NPI

Elevate Implants LLC

Doing business as Renew Family Dental

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1942105507
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELEVATE IMPLANTS LLC
Doing business as
Renew Family Dental
Practice address
2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866
Phone
(954) 224-8511
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Nathan Marcus Taylor
Title
Manager
Phone
(954) 224-8511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866

Mailing address

2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866
Phone (954) 224-8511

Other names 1

  • RENEW FAMILY DENTAL Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1942105507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 W CYPRESS CREEK RD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091866",
            "telephone_number": "954-224-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 W CYPRESS CREEK RD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091866",
            "telephone_number": "954-224-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-224-8511"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENEW FAMILY DENTAL",
            "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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.