NPIMap

Organization Active NPI

American Dental of Florida- Margate LLC

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1386976405
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17150 Issued in FL
Legal business name
AMERICAN DENTAL OF FLORIDA- MARGATE LLC
Practice address
6905 W Broward Blvd Ste 101
Plantation, FL 33317-2903
Phone
(954) 641-0414
Fax
(954) 641-0418
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. James M Kerns Jr., DMD
Title
Owner
Phone
(954) 974-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN17150 FL Primary

Addresses

Primary practice location

6905 W Broward Blvd Ste 101
Plantation, FL 33317-2903

Mailing address

1509 N State Road 7
Suite H
Margate, FL 33063-5731
Phone (954) 974-8550

National Provider Directory

National Provider Directory
Tax ID family
American Dental of Florida- Margate LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1386976405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N STATE ROAD 7",
            "address_2": "SUITE H",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635731",
            "telephone_number": "954-974-8550",
            "fax_number": "954-974-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 W BROWARD BLVD STE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172903",
            "telephone_number": "954-641-0414",
            "fax_number": "954-641-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL OF FLORIDA- MARGATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-974-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.