Individual provider Active NPI

Kafi Charles, DMD

  • Pediatric Dentistry
  • Coral Springs, FL
National Provider Identifier
1114305661
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
27875 Issued in FL
Practice address
8150 Royal Palm Blvd Ste 104
Coral Springs, FL 33065-5704
Phone
(954) 344-0445
NPI assigned
May 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 27875 FL Primary
Pediatric Dentistry 1223P0221X 059698-1 NY

Addresses

Primary practice location

8150 Royal Palm Blvd Ste 104
Coral Springs, FL 33065-5704

Mailing address

8150 Royal Palm Blvd Ste 104
Coral Springs, FL 33065-5704
Phone (954) 344-0445

Other practice location 1

1476 Deer Park Ave
North Babylon, NY 11703
Phone (631) 254-5437

Other practice location 2

2211 Merrick Rd
Merrick, NY 11566
Phone (516) 365-5439 ext. 2

Other practice location 3

391 N Congress Ave
Boynton Beach, FL 33426-3415
Phone (561) 990-5174

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

LicenseStateTypeSpecialty
27875FLMDPediatric Dentist
059698-1NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Pediatric Dentistry Coral Springs PA Pediatric Dentistry CurrentSince Dec 10, 2023 Accepting new patients
Meier Orthodontics Coral Springs PLLC Pediatric Dentistry PastSince Dec 10, 2023 Accepting new patients

Locations

8150 Royal Palm Blvd
Ste 104
Coral Springs, FL 33065
Phone (954) 344-0445

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1114305661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 ROYAL PALM BLVD STE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655704",
            "telephone_number": "954-344-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 ROYAL PALM BLVD STE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655704",
            "telephone_number": "954-344-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1476 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "North Babylon",
            "state": "NY",
            "postal_code": "11703",
            "country_code": "US",
            "telephone_number": "631-254-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "11566",
            "country_code": "US",
            "telephone_number": "516-365-5439 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 N Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334263415",
            "country_code": "US",
            "telephone_number": "561-990-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "KAFI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "27875",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059698-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.