East Commercial Childrens Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EAST COMMERCIAL CHILDRENS DENTAL

Practice address

2633 E Commercial Blvd
Fort Lauderdale, FL 33308-4135

Phone

(888) 601-4884

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Robert Rodriguez, MBA

Title

Ceo

Phone

(772) 204-3529

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Commercial Childrens Dental Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1386265346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SE 6TH AVE STE 201",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835185",
            "telephone_number": "772-204-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084135",
            "telephone_number": "888-601-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COMMERCIAL CHILDRENS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-204-3529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1154511376",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert@dentalteamfl.com",
            "affiliation": "N",
            "endpointDescription": "Professional Encrypted HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2633 E Commercial Blvd",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333084135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "East Commercial Childrens Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ease DME LLC
• Jonathan Eason
• East Broward Dental
• East Coast Family Dental Lauderdale PA
• East Coast Pathology Associates, PA
• East Fort Lauderdale ASC LLC
• East Ft Lauderdale LLC
• East Las Olas Psychological Group
• East Las Olas Psychological Group
• East/West Pediatrics, P.a.

• Dental Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.