Easton R Douglas, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0014433 Issued in FL

Practice address

5100 W Commercial Blvd
Suite # 7
Tamarac, FL 33319-2834

Phone

(954) 731-9922

Fax

(954) 731-7658

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366657140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W COMMERCIAL BLVD",
            "address_2": "SUITE # 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192834",
            "telephone_number": "954-731-9922",
            "fax_number": "954-731-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W COMMERCIAL BLVD",
            "address_2": "SUITE # 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192834",
            "telephone_number": "954-731-9922",
            "fax_number": "954-731-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "EASTON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Donofrio, ARNP
• Barbara Dooley, REGISTERED NURSE
• Dorsalis Enterprises, LLC
• Moises E Dossantos
• Douglas Primary Care Centers, Inc
• Heather Douglas
• Jenny Lynn Douglas, M.S.,CCC-SLP
• Dr Ariel Frankel, LLC
• Dr Barry L Duncan PA
• Dr Darnita a Hill DO PA

• General Practice Dentistry in Tamarac, FL
• Providers in Tamarac, 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 Jul 8, 2007; 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.