Organization Active NPI

Affordable Dental Center of West Broward

Doing business as My Dentist For Life

  • Dental Clinic/Center
  • Plantation, FL
National Provider Identifier
1093213233
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN15321 Issued in FL
Legal business name
AFFORDABLE DENTAL CENTER OF WEST BROWARD
Doing business as
My Dentist For Life
Practice address
11941 W Sunrise Blvd
Plantation, FL 33323-2224
Phone
(954) 578-6869
NPI assigned
Jan 23, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Saba Rizvi, DMDNPI 1174703300
Title
Dentist
Phone
(954) 578-6869

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
Dental Clinic/Center 261QD0000X DN15321 FL Primary

Addresses

Primary practice location

11941 W Sunrise Blvd
Plantation, FL 33323-2224

Mailing address

11941 W Sunrise Blvd
Plantation, FL 33323-2224
Phone (954) 578-6869

Other identifiers 1

IdentifierTypeStateIssuer
1174703300OtherFLNPI (INDIVIDUAL)

Other names 1

  • My Dentist For Life Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dental Center of West Broward2 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

11941 W Sunrise Blvd
Plantation, FL 33323
Phone (954) 578-6869

Practitioners & affiliated clinicians

Practitioners 1

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": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1093213233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232224",
            "telephone_number": "954-578-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11941 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232224",
            "telephone_number": "954-578-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTAL CENTER OF WEST BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-578-6869",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN15321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1174703300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.