Cosmic Smiles Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COSMIC SMILES PEDIATRIC DENTISTRY

Practice address

3027 E Commercial Blvd
Fort Lauderdale, FL 33308-3330

Phone

(646) 409-6540

Fax

(954) 246-4577

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Julian Berlin, DDSNPI 1568774719

Title

Owner

Phone

(954) 246-4777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Julian Berlin, D.D.S.

  • Pediatric Dentistry
  • Fort Lauderdale, FL
  • NPI 1568774719
  NPD Authorized official

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1366910333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LESLIE DR APT 812",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097317",
            "telephone_number": "646-409-6540",
            "fax_number": "954-246-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083330",
            "telephone_number": "646-409-6540",
            "fax_number": "954-246-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMIC SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-246-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03716034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Noemi Corvetto
• Yuneidy Corzo Espino
• Stephen Cosentino, D.O.
• Aimee Campbell Coskey, MS, CCC-SLP
• Cosmetic and Reconstructive Specialists of Florida, PLLC
• Eugene Norman Costantini, M.D.
• Costantino Tocci MD PA
• Ernest Costantino Jr., M.D.
• Cristina Melisa Costas, SLP
• Thomas P Costello, D.O.

• Pediatric Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.