NPIMap

Organization Active NPI

Poinciana Dental

  • Dentist
  • Poinciana, FL
National Provider Identifier
1386934180
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14171 Issued in FL
Legal business name
POINCIANA DENTAL
Practice address
873 Cypress Pkwy
Poinciana, FL 34759-3408
Phone
(407) 846-4775
Fax
(407) 846-8114
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Pedram Behnia, M.D
Title
Doctor
Phone
(407) 846-4775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14171 FL Primary

Addresses

Primary practice location

873 Cypress Pkwy
Poinciana, FL 34759-3408

Mailing address

873 Cypress Pkwy
Poinciana, FL 34759-3408
Phone (407) 846-4775

National Provider Directory

National Provider Directory
Tax ID family
Poinciana Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

873 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 846-4775

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1386934180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 CYPRESS PKWY",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347593408",
            "telephone_number": "407-846-4775",
            "fax_number": "407-846-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 CYPRESS PKWY",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347593408",
            "telephone_number": "407-846-4775",
            "fax_number": "407-846-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BEHNIA",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-846-4775",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poinciana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.