Monika Srivastava DMD PA East

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MONIKA SRIVASTAVA DMD PA EAST

Practice address

10051 Pines Blvd
Suite C
Pembroke Pines, FL 33024-6186

Phone

(954) 251-2717

Fax

(954) 613-4005

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Monika Srivastava, DMDNPI 1790935898

Title

Owner/Dentist

Phone

(215) 485-7069

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• JACARANDA SMILES CHILDREN'S DENTISTRY AND ORTHODONTICS Doing business as

Locations

Practitioners 2

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

• Monika Srivastava, D.M.D.

  • Pediatric Dentistry
  • Plantation, FL
  • NPI 1790935898
  NPD Authorized official
• Ana Lina Gonzalez Caceres, D.D.S

  • Pediatric Dentistry
  • Boca Raton, FL
  • NPI 1699133132
  NPD (past)

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1043677925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 PINES BLVD STE D",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246172",
            "telephone_number": "954-251-2717",
            "fax_number": "954-613-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 PINES BLVD",
            "address_2": "SUITE C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246186",
            "telephone_number": "954-251-2717",
            "fax_number": "954-613-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIKA SRIVASTAVA DMD PA EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "215-485-7069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003557500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACARANDA SMILES CHILDREN'S DENTISTRY AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mona Issa Chiropractic and Wellness Center
• Maria Moncayo, LMHC
• Richard Mondestin
• Ariel Monds
• Monica Moreno MD PA
• Monika Srivastava DMD PA West
• Emperatriz Moniz
• Monte Health & Wellness, Corp
• Erica Montecalvo
• Hamilton Aragao Monteiro, MD

• Pediatric Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.