Active NPI
John Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Coconut Creek, FL
National Provider Identifier
1033457312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN 17809
- Legal business name
- JOHN ORTHODONTICS
- Practice address
- 4651 N State Road 7 Unit 1314
Coconut Creek, FL 33073-4378 - Phone
- (954) 575-3313
- NPI assigned
- Jan 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eliane A John, DDS; MS
- Title
- Orthodontist
- Phone
- (954) 575-3313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN 17809 | FL | Primary |
Addresses
Primary practice location
4651 N State Road 7 Unit 1314
Coconut Creek, FL 33073-4378
Mailing address
4651 N State Road 7 Unit 1314
Coconut Creek, FL 33073-4378
Phone (954) 575-3313
National Provider Directory
National Provider DirectoryLocations
4651 N State Road 7
Unit 1314
Coconut Creek, FL 33073
Phone (954) 575-3313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358812800000",
"number": "1033457312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 N STATE ROAD 7 UNIT 1314",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734378",
"telephone_number": "954-575-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 N STATE ROAD 7 UNIT 1314",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734378",
"telephone_number": "954-575-3313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "ELIANE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "954-575-3313",
"authorized_official_credential": "DDS; MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN 17809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.