Academia Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18452 Issued in FL

Legal business name

ACADEMIA DENTAL PA

Practice address

17395 N Bay Rd
Suite 201
Sunny Isles Beach, FL 33160-3334

Phone

(305) 792-5001

Fax

(305) 792-5007

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Taskonak Burak, DDS

Title

Owner/ Ceo

Phone

(305) 792-5001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1356618474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "SUITE 201",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "305-792-5001",
            "fax_number": "305-792-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "SUITE 201",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "305-792-5001",
            "fax_number": "305-792-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIA DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "BURAK",
        "authorized_official_first_name": "TASKONAK",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "305-792-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Home Care Services LLC
• 21St Century Oncology LLC (Boris V Klopukh MD)
• ABA Therapy Kid Center LLC
• Abelardo Vargas Mdpa
• Abelardo Vargas, M.D.P.a.
• Roland Adamyan
• Aff Autism Corp
• Terry Aflalo, SLP
• Aalaa Mohammad Ahmad
• Jacqueline Aizen, RD

• General Practice Dentistry in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, 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 Nov 17, 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.

Verify at the official NPI Registry.