Individual provider Active NPI

Jennifer Vargas, DDS

  • Pediatric Dentistry
  • Plantation, FL
National Provider Identifier
1033745849
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN27478 Issued in FL
Practice address
10117 Cleary Blvd
Plantation, FL 33324-1066
Phone
(954) 916-9060
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN27478 FL Primary

Addresses

Primary practice location

10117 Cleary Blvd
Plantation, FL 33324-1066

Mailing address

2124 NW 171St Ter
Pembroke Pines, FL 33028-2054
Phone (954) 696-8308

Other practice location 1

7244 W McNab Rd
North Lauderdale, FL 33068-5441
Phone (954) 341-0002

Other practice location 2

6045 Hagen Ranch Rd Ste 3
Lake Worth, FL 33467-7251
Phone (561) 845-7374

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

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
DN27478FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Center of North Lauderdale Pediatric Dentistry PastSince Feb 11, 2024 Accepting new patients
Pediatric and Orthodontic Dental Centers of Broward Pediatric Dentistry Past 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": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1033745849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 NW 171ST TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282054",
            "telephone_number": "954-696-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241066",
            "telephone_number": "954-916-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7244 W McNab Rd",
            "address_purpose": "LOCATION",
            "city": "North Lauderdale",
            "state": "FL",
            "postal_code": "330685441",
            "country_code": "US",
            "telephone_number": "954-341-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6045 Hagen Ranch Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334677251",
            "country_code": "US",
            "telephone_number": "561-845-7374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN27478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "BronxCare Health Systems Department of Dentistry",
            "address_2": "1775 Grand Concourse 6th Floor",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 19, 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.