Active NPI
Sage Dental of Pinecrest,PLLC
- Dentist
- Pinecrest, FL
National Provider Identifier
1386153443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SAGE DENTAL OF PINECREST,PLLC
- Practice address
- 12695 S Dixie Hwy
Pinecrest, FL 33156-5963 - Phone
- (305) 853-8559
- Fax
- (305) 907-5267
- NPI assigned
- Sep 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Cruz, DMD
- Title
- Chief Dental Director
- Phone
- (561) 999-9650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
12695 S Dixie Hwy
Pinecrest, FL 33156-5963
Mailing address
6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213
Phone (561) 999-9650
National Provider Directory
National Provider DirectoryLocations
12695 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 733-0808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1386153443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 CONGRESS AVE STE 150",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871213",
"telephone_number": "561-999-9650",
"fax_number": "561-431-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12695 S DIXIE HWY",
"city": "PINECREST",
"state": "FL",
"postal_code": "331565963",
"telephone_number": "305-853-8559",
"fax_number": "305-907-5267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE DENTAL OF PINECREST,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-21",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "CHIEF DENTAL DIRECTOR",
"authorized_official_telephone_number": "561-999-9650",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinecrest, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.