Organization Active NPI

Pines Dental Care, Inc

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1336372382
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PINES DENTAL CARE, INC
Practice address
302 NW 179TH Ave
Suite 201 a
Pembroke Pines, FL 33029-2818
Phone
(954) 450-9383
Fax
(954) 450-9385
NPI assigned
Aug 25, 2009
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Roxana Rodriguez, D.D.S
Title
Dentist
Phone
(954) 450-9383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

302 NW 179TH Ave
Suite 201 a
Pembroke Pines, FL 33029-2818

Mailing address

302 NW 179TH Ave
Suite 201 a
Pembroke Pines, FL 33029-2818
Phone (954) 450-9383

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1336372382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE",
            "address_2": "SUITE 201 A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-450-9383",
            "fax_number": "954-450-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE",
            "address_2": "SUITE 201 A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-450-9383",
            "fax_number": "954-450-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-450-9383",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.