Organization Active NPI

Family Dental PLLC

  • Dentist
  • Hollywood, FL
National Provider Identifier
1114363355
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18878 Issued in FL
Legal business name
FAMILY DENTAL PLLC
Practice address
3911 Hollywood Blvd
Suite 101
Hollywood, FL 33021-6795
Phone
(954) 967-2525
Fax
(954) 967-2523
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Dr. Naved Fatmi, D.M.D
Title
Dentist/ Owner
Phone
(954) 967-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN18878 FL Primary

Addresses

Primary practice location

3911 Hollywood Blvd
Suite 101
Hollywood, FL 33021-6795

Mailing address

3911 Hollywood Blvd
Suite 101
Hollywood, FL 33021
Phone (954) 967-2525

National Provider Directory

National Provider Directory

Locations

3911 Hollywood Blvd
Ste 101
Hollywood, FL 33021
Phone (954) 967-2525

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1114363355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 HOLLYWOOD BLVD",
            "address_2": "SUITE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-967-2525",
            "fax_number": "954-967-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 HOLLYWOOD BLVD",
            "address_2": "SUITE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216795",
            "telephone_number": "954-967-2525",
            "fax_number": "954-967-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "FATMI",
        "authorized_official_first_name": "NAVED",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "954-967-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18878",
            "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 May 15, 2013; 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.