Organization Active NPI

Simply Smile Orthodontics of Pembroke Pines, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1255775649
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN17283 Issued in FL
Legal business name
SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLC
Practice address
700 N Hiatus Rd
Suite 101
Pembroke Pines, FL 33026-5206
Phone
(954) 973-5725
NPI assigned
Apr 29, 2013
Organization subpart
Yes
Parent organization
SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Ernest Orphanos, DDSNPI 1811168586
Title
Owner
Phone
(561) 477-7171

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DN17283 FL Primary

Addresses

Primary practice location

700 N Hiatus Rd
Suite 101
Pembroke Pines, FL 33026-5206

Mailing address

9291 Glades Rd
Suite 301
Boca Raton, FL 33434-3959
Phone (561) 477-7171

National Provider Directory

National Provider Directory
Tax ID family
Simply Smile Orthodontics of Pembroke Pines LLC2 organizations share this tax ID, including this one
Part of
Simply Smile Orthodontics of Pembroke Pines LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9291 Glades Rd
Ste 301
Boca Raton, FL 33434
Phone (561) 477-7171

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1255775649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 GLADES RD",
            "address_2": "SUITE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343959",
            "telephone_number": "561-477-7171",
            "fax_number": "561-477-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "address_2": "SUITE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-973-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLC",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "ORPHANOS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-477-7171",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN17283",
            "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 Apr 29, 2013; 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.