Shalom Sunset Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20938 Issued in FL

Legal business name

SHALOM SUNSET DENTAL CARE LLC

Practice address

6491 Sunset Strip
Sutie #1
Sunrise, FL 33313

Phone

(954) 572-1801

Fax

(954) 333-7561

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Blanca Mairenysc Castello Polo, DMDNPI 1710380316

Title

Owner

Phone

(954) 580-4367

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blanca Mairenys Castello Polo, D.M.D

  • Dentist
  • Sunrise, FL
  • NPI 1710380316
  NPD (past) Authorized official
• Olga Bird, D.D.S

  • Dentist
  • Sunrise, FL
  • NPI 1578732822
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1043661796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6491 SUNSET STRIP",
            "address_2": "SUTIE #1",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-572-1801",
            "fax_number": "954-333-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6491 SUNSET STRIP",
            "address_2": "SUTIE #1",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-572-1801",
            "fax_number": "954-333-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM SUNSET DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "CASTELLO POLO",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "MAIRENYSC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-580-4367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Shadeed
• Alka Shah, NP
• Komal S Shah, R.P.T.
• Megha Shah
• Santhra Shaji
• Shana J. Williams, Psy.D., LLC
• Ernesta Shankle, APRN, FNP-C , PHD
• Julie Ann Shapiro, CRNA
• Melissa Nabila Shariff, ARNP
• Bhakti Sharma

• General Practice Dentistry in Sunrise, FL
• Providers in Sunrise, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.