Active NPI
Diana Dardik
- Speech-Language Assistant
- Weston, FL
National Provider Identifier
1366675779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI 1179
- Practice address
- 645 Heritage Dr
Weston, FL 33326-4547 - Phone
- (954) 540-0441
- Fax
- (954) 302-1935
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI 1179 | FL | Primary |
Addresses
Primary practice location
645 Heritage Dr
Weston, FL 33326-4547
Mailing address
645 Heritage Dr
Weston, FL 33326-4547
Phone (954) 540-0441
Other names 1
- Diana Dardik
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
| License | State | Type | Specialty |
|---|---|---|---|
| SI 1179 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1366675779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 HERITAGE DR",
"city": "WESTON",
"state": "FL",
"postal_code": "333264547",
"telephone_number": "954-540-0441",
"fax_number": "954-302-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 HERITAGE DR",
"city": "WESTON",
"state": "FL",
"postal_code": "333264547",
"telephone_number": "954-540-0441",
"fax_number": "954-302-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDIK",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI 1179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "DARDIK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.