Active NPI
Andrew Jonathan Adler, DMD
- Dentist
- Hollywood, FL
National Provider Identifier
1104920479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0013584
- Practice address
- 3901 S Ocean Dr
Hollywood, FL 33019-3016 - Phone
- (954) 457-7637
- Fax
- (954) 454-2980
- NPI assigned
- Sep 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN0013584 | FL | Primary |
Addresses
Primary practice location
3901 S Ocean Dr
Hollywood, FL 33019-3016
Mailing address
3901 S Ocean Dr
Hollywood, FL 33019-3016
Phone (954) 457-7637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0013584 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104920479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S OCEAN DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330193016",
"telephone_number": "954-457-7637",
"fax_number": "954-454-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S OCEAN DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330193016",
"telephone_number": "954-457-7637",
"fax_number": "954-454-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "ANDREW",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0013584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.