Individual provider Active NPI

Dafna A Brzoza, DDS

  • Dentist
  • Aventura, FL
National Provider Identifier
1023595394
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25379 Issued in FL
Practice address
3640 Yacht Club Dr Apt 907
Aventura, FL 33180-3571
Phone
(130) 591-5238
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25379 FL Primary

Addresses

Primary practice location

3640 Yacht Club Dr Apt 907
Aventura, FL 33180-3571

Mailing address

3640 Yacht Club Dr Apt 907
Aventura, FL 33180-3571
Phone (130) 591-5238

Other names 1

  • Dr. Dafna A Brzoza Professional name

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
25379FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1023595394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 YACHT CLUB DR APT 907",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803571",
            "telephone_number": "130-591-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 YACHT CLUB DR APT 907",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803571",
            "telephone_number": "130-591-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOZA",
        "first_name": "DAFNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAFNA",
            "last_name": "BRZOZA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DAFNA BRZOZA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.