Organization Active NPI

Hollywood Perfect Smile PA

  • Dentist
  • Hollywood, FL
National Provider Identifier
1083018584
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HOLLYWOOD PERFECT SMILE PA
Practice address
6730 Taft St
Hollywood, FL 33024-3903
Phone
(954) 998-7330
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Filiberto Herdocia
Title
DMD
Phone
(954) 986-6838

Specialties & licenses 1

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

Addresses

Primary practice location

6730 Taft St
Hollywood, FL 33024-3903

Mailing address

6730 Taft St
Hollywood, FL 33024-3903
Phone (954) 998-7330

National Provider Directory

National Provider Directory
Tax ID family
Filiberto J Herdocia DDS Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6730 Taft St
Hollywood, FL 33024
Phone (954) 987-3309

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1083018584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243903",
            "telephone_number": "954-998-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243903",
            "telephone_number": "954-998-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD PERFECT SMILE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "HERDOCIA",
        "authorized_official_first_name": "FILIBERTO",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "954-986-6838"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.