Individual provider Active NPI

Estefania Lamas, DMD

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1245961556
Registry record updated Jun 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27076 Issued in FL
Practice address
20841 Johnson St Ste 104
Pembroke Pines, FL 33029-1922
Phone
(954) 885-5351
NPI assigned
Jun 19, 2022
Last updated
Jun 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2022

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 DN27076 FL Primary

Addresses

Primary practice location

20841 Johnson St Ste 104
Pembroke Pines, FL 33029-1922

Mailing address

19340 SW 31St CT
Miramar, FL 33029-5819
Phone (954) 790-4736

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
DN27076FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1245961556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19340 SW 31ST CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295819",
            "telephone_number": "954-790-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20841 JOHNSON ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291922",
            "telephone_number": "954-885-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAS",
        "first_name": "ESTEFANIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; 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.