Sunrise Family Smiles, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUNRISE FAMILY SMILES, PA

Practice address

9440 West Commercial Blvd
Suite 105
Sunrise, FL 33351

Phone

(954) 900-3180

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Beverly Green, DDSNPI 1558704122

Title

President

Phone

(954) 900-3180

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Green, DDS

  • Dentist
  • Tamarac, FL
  • NPI 1558704122
  NPD (past) Authorized official

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1114493202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 WEST COMMERCIAL BLVD",
            "address_2": "SUITE 105",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-900-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 WEST COMMERCIAL BLVD",
            "address_2": "SUITE 105",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-900-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY SMILES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-900-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Chiropractic Wellness Center, LLC
• Sunrise Counseling and Life Coaching, PLLC
• Sunrise Dental Services, PLLC
• Sunrise Eyecare Specialty Lenses and Dry Eye Institute
• Sunrise Family Dentistry
• Sunrise FL Opco LLC
• Sunrise Laser & Hormone Institute
• Sunrise Medical Equipment & Oxygen Inc
• Sunrise Mex Corp
• Sunrise Nursing Home Operations Company LLC

• Dental Clinic/Center in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.