Active NPI
David Eugene, DDS
- General Practice Dentistry
- Lauderdale Lake, FL
National Provider Identifier
1306080304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN18594
- Practice address
- 2447 North State Road 7
Lauderdale Lake, FL 33313 - Phone
- (954) 733-9971
- Fax
- (954) 733-5521
- NPI assigned
- Apr 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN18594 | FL | Primary |
Addresses
Primary practice location
2447 North State Road 7
Lauderdale Lake, FL 33313
Mailing address
2447 N State Road 7
Lauderdale Lakes, FL 33313-3723
Phone (954) 733-9971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001093600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18594 | FL | MD | General Practice Dentistry |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Eugene, D.D.S, P.L.L.C | General Practice | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lauderdale Lakes, FL
- NPI 1235427121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1306080304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2447 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333133723",
"telephone_number": "954-733-9971",
"fax_number": "954-733-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2447 NORTH STATE ROAD 7",
"city": "LAUDERDALE LAKE",
"state": "FL",
"postal_code": "33313",
"telephone_number": "954-733-9971",
"fax_number": "954-733-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUGENE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-22",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001093600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.