Individual provider Active NPI

Jordana Lauren Pachter

  • General Practice Dentistry
  • Lauderhill, FL
National Provider Identifier
1205417375
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26587 Issued in FL
Practice address
5950 W Oakland Park Blvd Ste 101
Lauderhill, FL 33313-1245
Phone
(954) 890-2526
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN26587 FL Primary

Addresses

Primary practice location

5950 W Oakland Park Blvd Ste 101
Lauderhill, FL 33313-1245

Mailing address

5950 W Oakland Park Blvd Ste 101
Lauderhill, FL 33313-1245
Phone (954) 890-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN26587FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network
  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1205417375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 W OAKLAND PARK BLVD STE 101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131245",
            "telephone_number": "954-890-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 W OAKLAND PARK BLVD STE 101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131245",
            "telephone_number": "954-890-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHTER",
        "first_name": "JORDANA",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.