Active NPI
Total Dental Centers, PLLC
- General Practice Dentistry
- Pembroke Pines, FL
National Provider Identifier
1356892467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN21583
- Legal business name
- TOTAL DENTAL CENTERS, PLLC
- Practice address
- 12169 Pembroke Rd
Pembroke Pines, FL 33025-1727 - Phone
- (954) 505-3269
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Rodriguez
- Title
- Adminstrator
- Phone
- (954) 505-3269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN21583 | FL | Primary |
Addresses
Primary practice location
12169 Pembroke Rd
Pembroke Pines, FL 33025-1727
Mailing address
14201 W Sunrise Blvd Ste 207
Sunrise, FL 33323-3207
Phone (954) 505-5000
Other names 1
- Amicus Dental Centers
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1356892467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 W SUNRISE BLVD STE 207",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333233207",
"telephone_number": "954-505-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12169 PEMBROKE RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251727",
"telephone_number": "954-505-3269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL DENTAL CENTERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "954-505-3269",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN21583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amicus Dental Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.