Organization Active NPI

Tooth Tales

  • Pediatric Dentistry
  • Miramar, FL
National Provider Identifier
1265815054
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN16682 Issued in FL
Legal business name
TOOTH TALES
Practice address
12741 Miramar Parkway
Suite 203
Miramar, FL 33027
Phone
(954) 236-5273
Fax
(954) 653-2967
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Timothy P Chen
Title
Owner/Dentist
Phone
(954) 236-5273

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN91444 FL
Pediatric Dentistry 1223P0221X DN16682 FL Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN15943 FL

Addresses

Primary practice location

12741 Miramar Parkway
Suite 203
Miramar, FL 33027

Mailing address

12741 Miramar Pkwy
Suite 203
Miramar, FL 33027-2903
Phone (954) 236-5273

National Provider Directory

National Provider Directory
Tax ID family
Dr Timothy P Chen DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12741 Miramar Pkwy
Ste 203
Miramar, FL 33027
Phone (954) 236-5273

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1265815054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY",
            "address_2": "SUITE 203",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272903",
            "telephone_number": "954-236-5273",
            "fax_number": "954-653-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PARKWAY",
            "address_2": "SUITE 203",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-236-5273",
            "fax_number": "954-653-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH TALES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "954-236-5273"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN91444",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN16682",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN15943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.