NPIMap

Organization Active NPI

Monika Srivastava DMD PA Plantation

  • Pediatric Dentistry
  • Plantation, FL
National Provider Identifier
1114433646
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MONIKA SRIVASTAVA DMD PA PLANTATION
Practice address
104 NW 100TH Ave
Plantation, FL 33324-7008
Phone
(954) 452-9988
Fax
(954) 452-9966
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Dr. Monika Srivastava, DMDNPI 1790935898
Title
Owner/Dentist
Phone
(215) 485-7069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

104 NW 100TH Ave
Plantation, FL 33324-7008

Mailing address

104 NW 100TH Ave
Plantation, FL 33324-7008
Phone (954) 452-9988

Other names 1

  • JACARANDA SMILES CHILDREN'S DENTISTRY AND ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

104 NW 100th Ave
Plantation, FL 33324
Phone (954) 452-9988

Practitioners & affiliated clinicians

Practitioners 4

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": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1114433646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247008",
            "telephone_number": "954-452-9988",
            "fax_number": "954-452-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247008",
            "telephone_number": "954-452-9988",
            "fax_number": "954-452-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIKA SRIVASTAVA DMD PA PLANTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "215-485-7069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACARANDA SMILES CHILDREN'S DENTISTRY AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.