Organization Active NPI

Sanitas Dental of South Florida, P.a.

  • General Practice Dentistry
  • Cooper City, FL
National Provider Identifier
1366002248
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANITAS DENTAL OF SOUTH FLORIDA, P.A.
Practice address
5810 S Flamingo Rd
Cooper City, FL 33330-3237
Phone
(954) 434-3229
Fax
(954) 680-6254
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Tara F Levings, D.M.D.
Title
Dentist/ Practice Owner
Phone
(954) 510-5247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X

Addresses

Primary practice location

5810 S Flamingo Rd
Cooper City, FL 33330-3237

Mailing address

5810 S Flamingo Rd
Cooper City, FL 33330-3237
Phone (954) 434-3229

Other practice location 1

2000 NW 87th Ave Ste 202
Doral, FL 33172-2656
Phone (786) 615-6459

Other names 1

  • Sanitas Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanitas Dental of South Florida PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1366002248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 S FLAMINGO RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303237",
            "telephone_number": "954-434-3229",
            "fax_number": "954-680-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 S FLAMINGO RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303237",
            "telephone_number": "954-434-3229",
            "fax_number": "954-680-6254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 NW 87th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331722656",
            "country_code": "US",
            "telephone_number": "786-615-6459",
            "fax_number": "786-431-5638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANITAS DENTAL OF SOUTH FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "LEVINGS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST/ PRACTICE OWNER",
        "authorized_official_telephone_number": "954-510-5247",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanitas Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.