Organization Active NPI

Serenity Smiles

  • Dental Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1952063596
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SERENITY SMILES
Doing business as
n/a
Practice address
28441 S Tamiami TRL
Bonita Springs, FL 34134-3212
Phone
(239) 317-0014
NPI assigned
Oct 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dr. Ernesto Llerena, DMD
Title
Dentist
Phone
(305) 890-5372

Specialties & licenses 1

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

Addresses

Primary practice location

28441 S Tamiami TRL
Bonita Springs, FL 34134-3212

Mailing address

17339 Meadow Lake Cir
Fort Myers, FL 33967-2546
Phone (305) 890-5372

Other names 1

  • n/a Doing business as

National Provider Directory

National Provider Directory

Locations

28441 S Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 316-9044

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1952063596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17339 MEADOW LAKE CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339672546",
            "telephone_number": "305-890-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28441 S TAMIAMI TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343212",
            "telephone_number": "239-317-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "LLERENA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-890-5372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.