Active NPI
Vanni Russ Strenta, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Jacksonville, FL
National Provider Identifier
1992832059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN13548
- Practice address
- 3914 Blanding Blvd
Jacksonville, FL 32210-5413 - Phone
- (904) 573-9560
- Fax
- (904) 573-9562
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN13548 | FL | Primary |
Addresses
Primary practice location
3914 Blanding Blvd
Jacksonville, FL 32210-5413
Mailing address
3914 Blanding Blvd
Jacksonville, FL 32210-5413
Phone (904) 573-9560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13548 | FL | MD | Chiropractor |
| DN13548 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992832059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322105413",
"telephone_number": "904-573-9560",
"fax_number": "904-573-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3914 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322105413",
"telephone_number": "904-573-9560",
"fax_number": "904-573-9562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRENTA",
"first_name": "VANNI",
"middle_name": "RUSS",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN13548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.