NPIMap

Organization Active NPI

Unique Dental Care of Weston

  • General Practice Dentistry
  • Weston, FL
National Provider Identifier
1083121701
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN Issued in FL
Legal business name
UNIQUE DENTAL CARE OF WESTON
Practice address
2701 Executive Park Dr Ste 4
Weston, FL 33331-3632
Phone
(954) 217-4939
Fax
(954) 217-4938
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Mrs. Soraya Concepcion
Title
Office Manager
Phone
(954) 217-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN FL Primary

Addresses

Primary practice location

2701 Executive Park Dr Ste 4
Weston, FL 33331-3632

Mailing address

2701 Executive Park Dr Ste 4
Weston, FL 33331-3632
Phone (954) 217-4939

National Provider Directory

National Provider Directory

Locations

2701 Executive Park Dr
Ste 4
Weston, FL 33331
Phone (954) 217-4939

Practitioners & affiliated clinicians

Practitioners 3

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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1083121701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 EXECUTIVE PARK DR STE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313632",
            "telephone_number": "954-217-4939",
            "fax_number": "954-217-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EXECUTIVE PARK DR STE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313632",
            "telephone_number": "954-217-4939",
            "fax_number": "954-217-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE DENTAL CARE OF WESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "SORAYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-217-4939",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.