Active NPI
Elevate Implants LLC
Doing business as Renew Family Dental
- General Practice Dentistry
- Fort Lauderdale, FL
National Provider Identifier
1942105507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2026
- 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
- Nathan Marcus Taylor
- Title
- Manager
- Phone
- (954) 224-8511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.