NPIMap

Organization Active NPI

Mount Carmel Dental, LLC

  • Dentist
  • Coral Springs, FL
National Provider Identifier
1073783734
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12459 Issued in FL
Legal business name
MOUNT CARMEL DENTAL, LLC
Practice address
5551 N University Dr
Suite 101-a
Coral Springs, FL 33067-4651
Phone
(954) 796-0310
NPI assigned
Mar 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2008

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

Authorized official

Name
Dr. Jorge I Queija, D.D.SNPI 1871741223
Title
MGR Member
Phone
(954) 796-0310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN12459 FL Primary

Addresses

Primary practice location

5551 N University Dr
Suite 101-a
Coral Springs, FL 33067-4651

Mailing address

5551 N University Dr
Suite 101-a
Coral Springs, FL 33067-4651
Phone (954) 796-0310

National Provider Directory

National Provider Directory

Locations

5551 N University Dr
Ste 101A
Coral Springs, FL 33067
Phone (954) 796-0310

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204934400000",
    "number": "1073783734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR",
            "address_2": "SUITE 101-A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-796-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR",
            "address_2": "SUITE 101-A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-796-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A",
        "authorized_official_last_name": "QUEIJA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MGR MEMBER",
        "authorized_official_telephone_number": "954-796-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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.