Individual provider Active NPI

Craig Alan Friedman, DMD

  • General Practice Dentistry
  • Southwest Ranches, FL
National Provider Identifier
1013939586
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15153 Issued in FL
Practice address
4745 SW 148TH Ave
Suite 303
Southwest Ranches, FL 33330-2126
Phone
(954) 349-3449
Fax
(954) 349-4462
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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 DN15153 FL Primary

Addresses

Primary practice location

4745 SW 148TH Ave
Suite 303
Southwest Ranches, FL 33330-2126

Mailing address

4745 SW 148TH Ave
Suite 303
Southwest Ranches, FL 33330-2126
Phone (954) 349-3449

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
DN15153FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1013939586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 SW 148TH AVE",
            "address_2": "SUITE 303",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302126",
            "telephone_number": "954-349-3449",
            "fax_number": "954-349-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 SW 148TH AVE",
            "address_2": "SUITE 303",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302126",
            "telephone_number": "954-349-3449",
            "fax_number": "954-349-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.