Individual provider Active NPI

Lital Kathein, DDS

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1215051057
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 17491 Issued in FL
Practice address
131 NW 100TH Ave
Plantation, FL 33324-7034
Phone
(954) 476-4537
Fax
(954) 476-7734
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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 17491 FL Primary

Addresses

Primary practice location

131 NW 100TH Ave
Plantation, FL 33324-7034

Mailing address

131 NW 100TH Ave
Plantation, FL 33324-7034
Phone (954) 476-4537

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
DN 17491FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1215051057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247034",
            "telephone_number": "954-476-4537",
            "fax_number": "954-476-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247034",
            "telephone_number": "954-476-4537",
            "fax_number": "954-476-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHEIN",
        "first_name": "LITAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 17491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.