Southeastern Dental Associates V, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0002214 Issued in FL

Legal business name

SOUTHEASTERN DENTAL ASSOCIATES V, PA

Practice address

1160 Kane Concourse
Suite # 203
Bal Harbour, FL 33154

Phone

(305) 866-7127

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth D Rubinstein, DMD

Title

Owner

Phone

(305) 866-7127

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ronald Jarquin, DMD

  • Dentist
  • Miami, FL
  • NPI 1689195745
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1295977585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 KANE CONCOURSE",
            "address_2": "SUITE # 203",
            "city": "BAL HARBOUR",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-866-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 KANE CONCOURSE",
            "address_2": "SUITE # 203",
            "city": "BAL HARBOUR",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-866-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN DENTAL ASSOCIATES V, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-866-7127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0002214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHD Medical PLLC
• Prestige Rehab FL LLC
• Yolanda Sardina, RBT
• Melissa Schacter, DMFT, LMFT, LMHC
• Stephen R Scheinman, M.D.
• TS Therapy Inc.
• Darya Varshavski
• Kelly Wyman, APRN

• General Practice Dentistry in Bal Harbour, FL
• Providers in Bal Harbour, 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 Apr 1, 2009; 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.