AVENTURA PEDIATRIC DEBTISTRY, LLC
NPI 1689681397
Dentist in Aventura, FL

NPI Status: Active since August 02, 2006

Contact Information

2797 NE 207TH ST
SUITE 201
AVENTURA, FL
ZIP 33180
Phone: (305) 935-1613
Fax: (305) 935-4258

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  • Organization
  • Dentist
  • Accepts Insurance
  • CLIA Number: 10D0953112
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 10-26-2026

About AVENTURA PEDIATRIC DEBTISTRY, LLC

This page provides the complete NPI Profile along with additional information for Aventura Pediatric Debtistry, Llc, a provider established in Aventura, Florida operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1689681397 assigned on August 2006. The practitioner's primary taxonomy code is 122300000X with license number 11641 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. Aventura Pediatric Debtistry, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Ricky A Mars Dds (President)

NPI
1689681397
Provider Name
AVENTURA PEDIATRIC DEBTISTRY, LLC
Entity Type
Organization
Location Address
2797 NE 207TH ST SUITE 201 AVENTURA, FL 33180
Location Phone
(305) 935-1613
Location Fax
(305) 935-4258
Mailing Address
2797 NE 207TH ST SUITE 201 AVENTURA, FL 33180
Mailing Phone
(305) 935-1613
Mailing Fax
(305) 935-4258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Aventura Pediatric Debtistry, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
11641
License State
FL
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • DentaQuest EPO Family High - EPO
  • DentaQuest EPO Family Low - EPO
  • DentaQuest EPO Pediatric High - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICKY A MARS DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(305) 935-1613

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0953112
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
October 27, 2024
Certificate Expiration Date
October 26, 2026
Laboratory Director
CARLOS PENA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Aventura Pediatric Debtistry, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AVENTURA PEDIATRIC DEBTISTRY, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689681397
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691282318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 8 + 2 + 3 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1689681397 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

GLICKSMAN, MARS DENTAL , LLC

Dentist

2797 NE 207TH ST
STE 100
AVENTURA, FL
ZIP 33180

(305) 935-2797

RICK A MARS DDS

Dentist

2797 NE 207TH ST
AVENTURA, FL
ZIP 33180

(305) 935-2797

DR. JOEL GLICKSMAN DDS

Dentist

2797 NE 207TH ST
AVENTURA, FL
ZIP 33180

(305) 935-2797

JACK BERNE DDS

Dentist

(Pediatric Dentistry)

2797 NE 207TH ST
SUITE 201
AVENTURA, FL
ZIP 33180

(305) 935-1613

DR. JOSHUA COUSSA DMS

Dentist

2797 NE 207TH ST
AVENTURA, FL
ZIP 33180

(305) 935-2797

KIMBERLY A GANZ P.T.

Physical Therapist

2797 NE 207TH ST
SUITE 101
AVENTURA, FL
ZIP 33180

(305) 528-1795

TRANSFORM PHYSICAL THERAPY & PILATES LLC

Physical Therapist

2797 NE 207TH ST
SUITE 101
AVENTURA, FL
ZIP 33180

(305) 528-1795

JODI JAINCHILL PT

Physical Therapist

2797 NE 207TH ST
#101
AVENTURA, FL
ZIP 33180

(305) 528-1795

DR. DANIELA MODESTO DDS

Dentist

2797 NE 207TH ST
AVENTURA, FL
ZIP 33180

(305) 935-2797

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689681397, enumerated as an "organization" on August 02, 2006.

The provider is located at 2797 NE 207TH ST SUITE 201 AVENTURA, FL 33180 and the phone number is (305) 935-1613.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Aetna CVS Health and DentaQuest Insurance Company,. Please consult your insurance carrier or call the provider to verify.