Organization Active NPI

Dr Edwin Delz DDS PA

  • General Practice Dentistry
  • Pompano Beach, FL
National Provider Identifier
1386710408
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5471 Issued in FL
Legal business name
DR EDWIN DELZ DDS PA
Practice address
2323 NE 26 Avenue
Pompano Beach, FL 33062
Phone
(954) 782-9111
Fax
(954) 781-7259
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Edwin C Delz, DDS
Title
Owner Dentist
Phone
(954) 782-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5471 FL Primary

Addresses

Primary practice location

2323 NE 26 Avenue
Pompano Beach, FL 33062

Mailing address

2323 NE 26 Avenue
Pompano Beach, FL 33062
Phone (954) 782-9111

National Provider Directory

National Provider Directory

Locations

2323 NE 26th Ave
Pompano Beach, FL 33062
Phone (754) 300-4660

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1386710408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NE 26 AVENUE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33062",
            "telephone_number": "954-782-9111",
            "fax_number": "954-781-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NE 26 AVENUE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33062",
            "telephone_number": "954-782-9111",
            "fax_number": "954-781-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDWIN DELZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DELZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "954-782-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.