NPIMap

Organization Active NPI

Dental First Care PA

  • Dentist
  • Coconut Creek, FL
National Provider Identifier
1316793227
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL FIRST CARE PA
Practice address
4935 Coconut Creek Pkwy Unit 45
Coconut Creek, FL 33063-3909
Phone
(954) 905-6633
Fax
(954) 302-6898
NPI assigned
Apr 30, 2024
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dr. Rodolfo OlmosNPI 1679616577
Title
Owner
Phone
(407) 857-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4935 Coconut Creek Pkwy Unit 45
Coconut Creek, FL 33063-3909

Mailing address

9753 S Orange Blossom TRL Ste 105
Orlando, FL 32837-8998
Phone (407) 857-8585

Other names 1

  • Dental First Care 3 PA Former legal business name

National Provider Directory

National Provider Directory

Locations

4935 Coconut Creek Pkwy
Unit 45
Coconut Creek, FL 33063
Phone (954) 905-6633

9753 S Orange Blossom Trl
Ste 105
Orlando, FL 32837
Phone (407) 857-8585

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": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1316793227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "407-857-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 COCONUT CREEK PKWY UNIT 45",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633909",
            "telephone_number": "954-905-6633",
            "fax_number": "954-302-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FIRST CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-857-8585",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental First Care 3 PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dental First Care 3 PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.