Organization Active NPI

Orthosmiles,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1104278910
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN17976 Issued in FL
Legal business name
ORTHOSMILES,P.A.
Practice address
302 NW 179TH Ave
Suite#201-a
Pembroke Pines, FL 33029-2818
Phone
(954) 404-6712
Fax
(954) 404-6734
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Dr. Gina Cozzarelli, D.M.D.,P.A.
Title
Orthodontist/Owner
Phone
(954) 404-6712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DN17976 FL Primary

Addresses

Primary practice location

302 NW 179TH Ave
Suite#201-a
Pembroke Pines, FL 33029-2818

Mailing address

302 NW 179TH Ave
Suite#201-a
Pembroke Pines, FL 33029-2818
Phone (954) 404-6712

National Provider Directory

National Provider Directory

Locations

302 NW 179th Ave
Ste 201A
Pembroke Pines, FL 33029
Phone (954) 404-6712

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": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1104278910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE",
            "address_2": "SUITE#201-A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-404-6712",
            "fax_number": "954-404-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE",
            "address_2": "SUITE#201-A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-404-6712",
            "fax_number": "954-404-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSMILES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "COZZARELLI",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "954-404-6712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN17976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.