Individual provider Active NPI

Erick Delgado, DMD

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1003605247
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN30187 Issued in FL
Practice address
10080 NW 1St CT
Plantation, FL 33324-7035
Phone
(954) 474-8977
NPI assigned
May 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN30187 FL Primary

Addresses

Primary practice location

10080 NW 1St CT
Plantation, FL 33324-7035

Mailing address

975 W 69TH PL
Hialeah, FL 33014-5217
Phone (305) 967-3719

Other practice location 1

6500 Cow Pen Rd Ste 104
Miami Lakes, FL 33014-7620
Phone (305) 827-3926

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN30187FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Smile Center PA General Practice PastSince Dec 24, 2023 Accepting new patients
Plantation Dental Associates, PL General Practice PastSince May 11, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1003605247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 W 69TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145217",
            "telephone_number": "305-967-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 NW 1ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247035",
            "telephone_number": "954-474-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Cow Pen Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330147620",
            "country_code": "US",
            "telephone_number": "305-827-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ERICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN30187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.