Organization Active NPI

B&R Dental Florida Corporation

Doing business as Jacaranda Dental Associates

  • Dentist
  • Plantation, FL
National Provider Identifier
1124567821
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18607 Issued in FL
Legal business name
B&R DENTAL FLORIDA CORPORATION
Doing business as
Jacaranda Dental Associates
Practice address
600 S Pine Island Rd
Suite 201
Plantation, FL 33324-3166
Phone
(954) 812-9919
NPI assigned
Feb 15, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Rania Kashlan, DDSNPI 1932260403
Title
President
Phone
(954) 812-9919

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18607 FL Primary

Addresses

Primary practice location

600 S Pine Island Rd
Suite 201
Plantation, FL 33324-3166

Mailing address

751 Leigh Palm Ave
Plantation, FL 33324-8252
Phone (954) 812-9919

Other names 1

  • Jacaranda Dental Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1124567821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LEIGH PALM AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333248252",
            "telephone_number": "954-812-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD",
            "address_2": "SUITE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243166",
            "telephone_number": "954-812-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&R DENTAL FLORIDA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "KASHLAN",
        "authorized_official_first_name": "RANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-812-9919",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacaranda Dental Associates",
            "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 Feb 15, 2017; 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.