Organization Active NPI

South Florida Center for Periodontics & Implant Dentistry of Aventura

  • Periodontics
  • Aventura, FL
National Provider Identifier
1104206754
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN16891 Issued in FL
Legal business name
SOUTH FLORIDA CENTER FOR PERIODONTICS & IMPLANT DENTISTRY OF AVENTURA
Practice address
19495 Biscayne Blvd
Ste. #402
Aventura, FL 33180-2318
Phone
(305) 944-2700
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Samuel Zfaz, D.D.S.
Title
Owner
Phone
(305) 944-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN16891 FL Primary

Addresses

Primary practice location

19495 Biscayne Blvd
Ste. #402
Aventura, FL 33180-2318

Mailing address

19495 Biscayne Blvd
Ste. #402
Aventura, FL 33180-2318
Phone (305) 944-2700

National Provider Directory

National Provider Directory

Locations

19495 Biscayne Blvd
Ste 402
Miami, FL 33180
Phone (305) 944-2700

Practitioners & affiliated clinicians

Practitioners 1

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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1104206754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19495 BISCAYNE BLVD",
            "address_2": "STE. #402",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802318",
            "telephone_number": "305-944-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19495 BISCAYNE BLVD",
            "address_2": "STE. #402",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802318",
            "telephone_number": "305-944-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA CENTER FOR PERIODONTICS & IMPLANT DENTISTRY OF AVENTURA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ZFAZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-944-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.