Kids Dentist LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS DENTIST LLC

Practice address

8058 W McNab Rd
North Lauderdale, FL 33068-4254

Phone

(786) 286-6486

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Paola Wainberg

Title

Doctor

Phone

(786) 286-6486

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1114573086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8058 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8058 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684254",
            "telephone_number": "786-286-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WAINBERG",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "786-286-6486"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "8058 W McNab Rd",
            "city": "North Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330684254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Jones
• Sunshine N/a Jones
• K&a Phlebotomy Service
• Anna Leah Khan
• Omair Khan, DMD
• Kidz Resources, LLC
• Kindhearted Enrichment Getaway Inc
• Cedric Ladouceur
• Tania Laguerre
• Elyn Eliezer Lanfranco Delgado, MD

• Pediatric Dentistry in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.