Iglesias Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IGLESIAS DENTISTRY, LLC

Practice address

8890 Royal Palm Blvd
Coral Springs, FL 33065-5803

Phone

(954) 341-0500

Fax

(954) 775-0547

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Haissel Beriosca Iglesias, DDSNPI 1033879580

Title

Dentist

Phone

(202) 674-9121

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Haissel Beriosca Iglesias, DDS

  • General Practice Dentistry
  • Coral Springs, FL
  • NPI 1033879580
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1386499531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 NW 136TH AVE APT 643",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333235362",
            "telephone_number": "202-674-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 ROYAL PALM BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655803",
            "telephone_number": "954-341-0500",
            "fax_number": "954-775-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGLESIAS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "HAISSEL",
        "authorized_official_middle_name": "BERIOSCA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "202-674-9121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.