Organization Active NPI

Dental Care Group Ft Lauderdale LLC

  • Dentist
  • Ft Lauderdale, FL
National Provider Identifier
1124791819
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CARE GROUP FT LAUDERDALE LLC
Practice address
3107 Stirling Rd Ste 108
Ft Lauderdale, FL 33312-8502
Phone
(305) 216-0875
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Ricky Mars, DDS
Title
Owner
Phone
(305) 216-0875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3107 Stirling Rd Ste 108
Ft Lauderdale, FL 33312-8502

Mailing address

3107 Stirling Rd Ste 108
Ft Lauderdale, FL 33312-8502
Phone (305) 216-0875

Other names 1

  • Brad W. Graff DMD Doing business as

National Provider Directory

National Provider Directory

Locations

3107 Stirling Rd
Ste 108
Ft Lauderdale, FL 33312
Phone (954) 963-3706

Practitioners & affiliated clinicians

Practitioners 1

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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1124791819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD STE 108",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128502",
            "telephone_number": "305-216-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD STE 108",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128502",
            "telephone_number": "305-216-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE GROUP FT LAUDERDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-216-0875",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brad W. Graff DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.