Dolphin Dental Care of Hallandale, L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16116 Issued in FL

Legal business name

DOLPHIN DENTAL CARE OF HALLANDALE, L.L.C.

Practice address

660 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4422

Phone

(954) 316-4444

NPI assigned

Dec 10, 2012

Last updated

Dec 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivan O Parra, DDSNPI 1174629554

Title

Owner/Dentist

Phone

(954) 316-4444

Specialties & licenses 1

Addresses

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.

• Ivan Orlando Parra, DDS

  • Dentist
  • Plantation, FL
  • NPI 1174629554
  Authorized official Same address or phone

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1114262680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 E. HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-316-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094422",
            "telephone_number": "954-316-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN DENTAL CARE OF HALLANDALE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "PARRA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "954-316-4444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.