Organization Active NPI

Oakland Park Family Dental PA

  • Dentist
  • Oakland Park, FL
National Provider Identifier
1023514098
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OAKLAND PARK FAMILY DENTAL PA
Practice address
2901 W Oklnd PRK Blvd
Oakland Park, FL 33311-1243
Phone
(954) 484-4374
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Marc Mingel
Title
President
Phone
(954) 484-4374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2901 W Oklnd PRK Blvd
Oakland Park, FL 33311-1243

Mailing address

2901 W Oaklandpark Blvd
B-21
Oaklanpark, FL 33311
Phone (954) 484-4374

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023514098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W OAKLANDPARK BLVD",
            "address_2": "B-21",
            "city": "OAKLANPARK",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-484-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W OKLND PRK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111243",
            "telephone_number": "954-484-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PARK FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MINGEL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-484-4374"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.