NPIMap

Organization Active NPI

Aventura Dermatology & Cosmetic Center, P.a.

  • Procedural Dermatology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1003003195
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.
Practice address
5721 NE 27TH Ave
Fort Lauderdale, FL 33308-2703
Phone
(954) 772-0416
Fax
(954) 772-5716
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Igor Chaplik, D.O.
Title
Owner
Phone
(954) 772-0416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

5721 NE 27TH Ave
Fort Lauderdale, FL 33308-2703

Mailing address

5721 NE 27TH Ave
Fort Lauderdale, FL 33308-2703
Phone (954) 772-0416

Other names 1

  • Ft. Lauderdale Dermatology and Cosmetic Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Aventura Dermatology Cosmetic Center 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.

Locations

5721 NE 27th Ave
Ft Lauderdale, FL 33308
Phone (954) 772-0416

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1003003195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 NE 27TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082703",
            "telephone_number": "954-772-0416",
            "fax_number": "954-772-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 NE 27TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082703",
            "telephone_number": "954-772-0416",
            "fax_number": "954-772-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "CHAPLIK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-772-0416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft. Lauderdale Dermatology and Cosmetic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.