Clara M. Macias, D.M.D. P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN11268 Issued in FL

Legal business name

CLARA M. MACIAS, D.M.D. P.A.

Practice address

6830 Dykes Rd
Southwest Ranches, FL 33331-4663

Phone

(954) 252-0806

Fax

(954) 252-6685

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clara Maria Macias, D.M.D.NPI 1033651872

Title

President

Phone

(954) 252-0806

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clara Macias

  • Dentist
  • Southwest Ranches, FL
  • NPI 1033651872
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1245404110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 DYKES RD",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333314663",
            "telephone_number": "954-252-0806",
            "fax_number": "954-252-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 DYKES RD",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333314663",
            "telephone_number": "954-252-0806",
            "fax_number": "954-252-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA M. MACIAS, D.M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-252-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.