Individual provider Active NPI

Steven Elliott Polasky, D.D.S.

  • Dentist
  • Margate, FL
National Provider Identifier
1366583312
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13900 Issued in FL
Practice address
7797 Golf Circle Dr
J-312
Margate, FL 33063-7351
Phone
(954) 292-6628
NPI assigned
Feb 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 0013900 FL
Dentist 122300000X DN13900 FL Primary

Addresses

Primary practice location

7797 Golf Circle Dr
J-312
Margate, FL 33063-7351

Mailing address

7797 Golf Circle Dr
J-312
Margate, FL 33063-7351
Phone (954) 292-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 0013900FLMDDentist
DN13900FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1366583312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7797 GOLF CIRCLE DR",
            "address_2": "J-312",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637351",
            "telephone_number": "954-292-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7797 GOLF CIRCLE DR",
            "address_2": "J-312",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637351",
            "telephone_number": "954-292-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLASKY",
        "first_name": "STEVEN",
        "middle_name": "ELLIOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 0013900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.