NPIMap

Organization Active NPI

Victus Dental

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1962870147
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20335 Issued in FL
Legal business name
VICTUS DENTAL
Practice address
2850 Monroe St
Pensacola, FL 32514-7656
Phone
(850) 484-4844
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Dr. Anthony Nguyen Le, DMDNPI 1366875221
Title
Dentist/Owner
Phone
(850) 532-7815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN20335 FL Primary

Addresses

Primary practice location

2850 Monroe St
Pensacola, FL 32514-7656

Mailing address

2850 Monroe St
Pensacola, FL 32514-7656
Phone (850) 484-4844

National Provider Directory

National Provider Directory

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": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1962870147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MONROE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147656",
            "telephone_number": "850-484-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MONROE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147656",
            "telephone_number": "850-484-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTUS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "850-532-7815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.