Organization Active NPI

Florida Center for Esthetic Dentistry, P.a

  • Dental Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1154500502
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN16794 Issued in FL
Legal business name
FLORIDA CENTER FOR ESTHETIC DENTISTRY, P.A
Practice address
9825 W Sample Rd Ste 100
Coral Springs, FL 33065-4040
Phone
(954) 752-5560
Fax
(954) 752-5561
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Katia Friedman, D.D.S
Title
Dentist
Phone
(954) 752-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN16794 FL Primary

Addresses

Primary practice location

9825 W Sample Rd Ste 100
Coral Springs, FL 33065-4040

Mailing address

9825 W Sample Rd Ste 100
Coral Springs, FL 33065-4040
Phone (954) 752-5560

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1154500502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 W SAMPLE RD STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654040",
            "telephone_number": "954-752-5560",
            "fax_number": "954-752-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 W SAMPLE RD STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654040",
            "telephone_number": "954-752-5560",
            "fax_number": "954-752-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CENTER FOR ESTHETIC DENTISTRY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "KATIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-752-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN16794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.