NPIMap

Organization Active NPI

Bayview Dentistry PA

  • Dental Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1124996863
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BAYVIEW DENTISTRY PA
Practice address
3015 Bayview Dr Ste B
Fort Lauderdale, FL 33306-1710
Phone
(561) 947-5063
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Johnny C MoraesNPI 1932835717
Title
Owner
Phone
(954) 658-4561

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3015 Bayview Dr Ste B
Fort Lauderdale, FL 33306-1710

Mailing address

3015 Bayview Dr Ste B
Fort Lauderdale, FL 33306-1710
Phone (561) 947-5063

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.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1124996863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DR STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061710",
            "telephone_number": "561-947-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DR STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061710",
            "telephone_number": "561-947-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MORAES",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-658-4561",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.