Individual provider Active NPI

Ladilia Trifunovic, DMD

  • General Practice Dentistry
  • Sunrise, FL
National Provider Identifier
1184875544
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 18492 Issued in FL
Practice address
7800 W Oakland Park Blvd
Suite E-112
Sunrise, FL 33351-6741
Phone
(954) 749-2600
NPI assigned
Oct 3, 2008
Last updated
Dec 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 18492 FL Primary

Addresses

Primary practice location

7800 W Oakland Park Blvd
Suite E-112
Sunrise, FL 33351-6741

Mailing address

7800 W Oakland Park Blvd
Suite E-112
Sunrise, FL 33351-6741
Phone (954) 749-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001844 FL Order and Referring Only - DentistPractitioner - Dentist 5092011692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 18492FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ladilia Trifunovic DMD PLLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1184875544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD",
            "address_2": "SUITE E-112",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-749-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD",
            "address_2": "SUITE E-112",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-749-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIFUNOVIC",
        "first_name": "LADILIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.