Organization Active NPI

Dental Kare Dentistry PLLC

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1245015874
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL KARE DENTISTRY PLLC
Practice address
2467 E Commercial Blvd
Fort Lauderdale, FL 33308-4041
Phone
(954) 559-3222
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Dr. Jerry Josman KaredanNPI 1053835942
Title
Ceo
Phone
(954) 559-3222

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2467 E Commercial Blvd
Fort Lauderdale, FL 33308-4041

Mailing address

2920 Oak Park Cir
Davie, FL 33328-6723
Phone (954) 559-3222

National Provider Directory

National Provider Directory

Locations

2467 E Commercial Blvd
Fort Lauderdale, FL 33308
Phone (954) 559-3222

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": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1245015874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 OAK PARK CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286723",
            "telephone_number": "954-559-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084041",
            "telephone_number": "954-559-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL KARE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "KAREDAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "JOSMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-559-3222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Aug 30, 2023; 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.