NPIMap

Organization Active NPI

Advn Dental Partners PA

Doing business as Dillard Street Dental

  • General Practice Dentistry
  • Winter Garden, FL
National Provider Identifier
1992345102
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVN DENTAL PARTNERS PA
Doing business as
Dillard Street Dental
Practice address
516 S. Dillard Street
Winter Garden, FL 34787
Phone
(407) 656-3334
Fax
(407) 877-2412
NPI assigned
Jan 15, 2020
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Vivek Nerikar, DMDNPI 1538179049
Title
DMD- Dentist Owner
Phone
(904) 553-4859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

516 S. Dillard Street
Winter Garden, FL 34787

Mailing address

175 NW 138TH Terrace
Suite 200
Jonesville, FL 32669
Phone (352) 332-3030

Other names 1

  • Dillard Street Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advn Dental Partners PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1992345102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NW 138TH TERRACE",
            "address_2": "SUITE 200",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "32669",
            "telephone_number": "352-332-3030",
            "fax_number": "352-333-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S. DILLARD STREET",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-656-3334",
            "fax_number": "407-877-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVN DENTAL PARTNERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "NERIKAR",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "DMD- DENTIST OWNER",
        "authorized_official_telephone_number": "904-553-4859",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dillard Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.