Hidden Gem Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HIDDEN GEM DENTAL

Practice address

4403 W Hillsboro Blvd
Coconut Creek, FL 33073-3293

Phone

(954) 405-9620

Fax

(954) 697-0702

NPI assigned

Jan 30, 2020

Organization subpart

No

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

Authorized official

Name

Helena Hogan, DMDNPI 1851520456

Title

Owner

Phone

(954) 405-9620

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hidden Gem Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helena Hogan, DMD

  • Dentist
  • Coconut Creek, FL
  • NPI 1851520456
  NPD (past) Authorized official

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1265063127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W HILLSBORO BLVD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733293",
            "telephone_number": "954-405-9620",
            "fax_number": "954-697-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W HILLSBORO BLVD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733293",
            "telephone_number": "954-405-9620",
            "fax_number": "954-697-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN GEM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "HELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-405-9620",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1235394172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1851520456",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.hiddengemdental.com",
            "affiliation": "N",
            "endpointDescription": "Dental",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4403 W Hillsboro Blvd",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330733293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hidden Gem Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbrielle Maelynn Henry, RBT
• Scott J Herman, DC
• Amelia Hernandez
• Brandon Hernandez
• Natalia Herrera
• Highbridge Care Homewood LLC
• Christine Hiler, PSY.D.
• Rochelle Danielle Hockaday, FNP
• Maria Laura Hoffmann, OTR/L
• Helena Hogan, DMD

• General Practice Dentistry in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.