Organization Active NPI

Sonia I Pena DMD PA

Doing business as Broward Endodontics

  • Endodontics
  • Fort Lauderdale, FL
National Provider Identifier
1083624100
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN8594 Issued in FL
Legal business name
SONIA I PENA DMD PA
Doing business as
Broward Endodontics
Practice address
3020 NE 32 Ave
Ste 322
Fort Lauderdale, FL 33308
Phone
(954) 990-5363
Fax
(954) 990-5377
NPI assigned
Aug 9, 2006
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Sonia Idalia Pena, DMDNPI 1528077476
Title
Owner
Phone
(954) 463-3636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 8594 FL
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DN8594 FL Primary

Addresses

Primary practice location

3020 NE 32 Ave
Ste 322
Fort Lauderdale, FL 33308

Mailing address

3020 NE 32 Ave
Ste 322
Fort Lauderdale, FL 33308
Phone (954) 990-5363

Other names 1

  • Broward Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3020 NE 32nd Ave
Ste 322
Ft Lauderdale, FL 33308
Phone (954) 771-4141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1083624100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 NE 32 AVE",
            "address_2": "STE 322",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-990-5363",
            "fax_number": "954-990-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 NE 32 AVE",
            "address_2": "STE 322",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-990-5363",
            "fax_number": "954-990-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIA I PENA DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "IDALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-463-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "8594",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN8594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

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