NPIMap

Organization Active NPI

Dental Boost Pines, LLC

  • Dental Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1376937185
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN19159 Issued in FL
Legal business name
DENTAL BOOST PINES, LLC
Practice address
240 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone
(954) 437-0033
Fax
(954) 437-7796
NPI assigned
Mar 19, 2015
Organization subpart
Yes
Parent organization
DENTAL BOOST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Mrs. Mariana Gabaldon, DENTIST
Title
Dentist/Owner
Phone
(305) 822-4607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN19159 FL Primary

Addresses

Primary practice location

240 S Flamingo Rd
Pembroke Pines, FL 33027-1721

Mailing address

240 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone (954) 437-0033

Other names 1

  • Dental Boost, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Dental Boost LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1376937185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271721",
            "telephone_number": "954-437-0033",
            "fax_number": "954-437-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271721",
            "telephone_number": "954-437-0033",
            "fax_number": "954-437-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BOOST PINES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL BOOST, LLC",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "GABALDON",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "305-822-4607",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Boost, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.