Roger Joseph Phanord, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN0011339 Issued in FL

Practice address

5337 NE 2ND Ave
Miami, FL 33137-2707

Phone

(305) 758-0815

Fax

(305) 758-5030

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caring Dental Services Pompano LLC

  • General Practice Dentistry
  • Pompano Beach, FL
  • NPI 1730998972
  NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265505515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372707",
            "telephone_number": "305-758-0815",
            "fax_number": "305-758-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372707",
            "telephone_number": "305-758-0815",
            "fax_number": "305-758-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANORD",
        "first_name": "ROGER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0011339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie C Phanor
• Phanord & Associates PA
• Betty Phanord
• Kevin Roger Phanord, DMD
• Kyle Joseph Phanord, DMD
• Phar One Inc
• Pharm Med Enterprise
• Pharma Care Cosmetic Center, Inc.
• Pharma Group Inc
• Pharma One Inc.

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.