Steingrimur N Hermannsson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11610 Issued in FL

Practice address

700 N Hiatus Rd Ste 102
Pembroke Pines, FL 33026-5206

Phone

(954) 392-1635

NPI assigned

Apr 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Complete Dentistry of Pembroke Pines

  • Preferred Provider Organization
  • Pembroke Pines, FL
  • NPI 1497179725
  NPD (past)

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1104184324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20024 NW 56TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554601",
            "telephone_number": "954-736-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-392-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANNSSON",
        "first_name": "STEINGRIMUR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Fidel Henriquez, M.D.
• Fidel H Henriquez, MD
• Herbmor Compounding Pharmacy
• Luminita Daniela Heretoiu, LMHC
• Paul Herman
• Alexandra Hermida
• Jose Antonio Hernandez Aleman, SA-C
• Yanisleydis Hernandez Calero, RBT
• Yarlenis Hernandez Calero, RBT
• Genesis Adriana Hernandez de Hoyo

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.