Individual provider Active NPI

Steven Thomas Short, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1376765867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6995 Issued in FL
Practice address
5400 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-3201
Phone
(954) 776-6166
Fax
(954) 776-6698
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6995 FL Primary

Addresses

Primary practice location

5400 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-3201

Mailing address

5400 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-3201
Phone (954) 776-6166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001919 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8820393119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6995FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376765867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083201",
            "telephone_number": "954-776-6166",
            "fax_number": "954-776-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083201",
            "telephone_number": "954-776-6166",
            "fax_number": "954-776-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "6995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.