Active NPI
Broward Pediatric Dentists PA
- Pediatric Dentistry
- Hollywood, FL
National Provider Identifier
1114818051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- BROWARD PEDIATRIC DENTISTS PA
- Practice address
- 4420 Sheridan St Ste E
Hollywood, FL 33021-3552 - Phone
- (954) 962-8311
- NPI assigned
- Jul 10, 2025
- Last updated
- Jul 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Camacho, DMD
- Title
- Vice President
- Phone
- (954) 962-8311
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
4420 Sheridan St Ste E
Hollywood, FL 33021-3552
Mailing address
4420 Sheridan St Ste E
Hollywood, FL 33021-3552
Phone (954) 962-8311
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Lauderdale, FL
- NPI 1942844493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752105600000",
"number": "1114818051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 SHERIDAN ST STE E",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213552",
"telephone_number": "954-962-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 SHERIDAN ST STE E",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213552",
"telephone_number": "954-962-8311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWARD PEDIATRIC DENTISTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "CAMACHO",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "954-962-8311",
"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": []
}
Other providers in Hollywood, FL
- Broward Institute of Orthopaedic Specialties LLC
- Broward Medical & Rehab Inc (Bruce Mark Chiropratic)
- Broward Medical Center Group, Inc
- Broward Optimum Eye Care P.a.
- Broward Palm Medical Center 1, LLC
- Broward Periodontics and Implant Dentistry PLLC
- Broward Pharmacy & Discount Store Inc (Sedanos Pharmacy #24)
- Broward Physical Therapy
- Broward Physician Therapy Corp
- Broward Physicians Group of Florida, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.