Stephen Criscuolo, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN21814 Issued in FL

Practice address

8311 N Pine Island Rd
Tamarac, FL 33321-1539

Phone

(954) 228-7284

Fax

(954) 314-0575

NPI assigned

Jun 15, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Everyday Plantation LLC

  • Pediatric Dentistry
  • Plantation, FL
  • NPI 1831634583
  NPD (past)
• Smile Everyday Tamarac LLC

  • Pediatric Dentistry
  • Tamarac, FL
  • NPI 1487198040
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053792168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 NW 5TH ST STE 107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 N PINE ISLAND RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211539",
            "telephone_number": "954-228-7284",
            "fax_number": "954-314-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "305-418-7771",
            "fax_number": "305-418-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISCUOLO",
        "first_name": "STEPHEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georges Copernic Coupet, RN
• Annette Coy- McFarlane, APRN BC
• Ryan P Coyle, DPT
• CRC Health Treatment Clinics, LLC (Ft. Lauderdale Comprehensive Treatment Center)
• Eileen Crigler
• Cristal Pediatric Smile
• Tierra S Crooks
• Harley Cruz Cosio
• Csi-Pediatric Services, LLC (Csi-Special Care)
• Ana Elsa Cuevas, BEHAVIOR TECHNICIAN

• Pediatric Dentistry in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.