Coral Springs Modern Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CORAL SPRINGS MODERN DENTISTRY, PA

Practice address

5810 Wiles Rd
Coral Springs, FL 33067

Phone

(954) 314-8343

NPI assigned

Jul 13, 2017

Organization subpart

No

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

Authorized official

Name

Katie L. McCann

Title

DDS/Owner

Phone

(954) 314-8343

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Chandlor Bearden, DMD

  • General Practice Dentistry
  • Pinellas Park, FL
  • NPI 1922678366
  NPD (past)
• Jenny Cortes, DMD

  • General Practice Dentistry
  • Oakland Park, FL
  • NPI 1508480187
  NPD (past)
• Carolina Lahoz Heck, DMD

  • Dentist
  • Coral Springs, FL
  • NPI 1548945744
  NPD (past)
• Gisselle McWhorter, DMD

  • Dentist
  • Coral Springs, FL
  • NPI 1316867955
  NPD (past)
• Laith Azzouni, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, MA
  • NPI 1023288347
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1396267100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-314-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS MODERN DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "954-314-8343"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Springs Family Dentistry at Univesity
• Coral Springs Family Orthodontics
• Coral Springs Holistic Pediatrics, LLC
• Coral Springs Medical Center
• Coral Springs Medical Group Inc.
• Coral Springs Ophthalmology Associates PA
• Coral Springs Ophthalmology, PA
• Coral Springs Pediatric & Adult Psychiatry, Inc.
• Coral Springs Physical Medicine, Inc.
• Coral Springs Physical Therapy LLC

• All providers in Coral Springs, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.