Organization Active NPI

Sawgrass Gentle Dentistry

  • General Practice Dentistry
  • Sunrise, FL
National Provider Identifier
1396329314
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAWGRASS GENTLE DENTISTRY
Practice address
13713 W Sunrise Blvd Ste 205
Sunrise, FL 33323-3213
Phone
(954) 251-4849
Fax
(954) 251-0870
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Dr. Coty Rappaccioli, DMDNPI 1649473588
Title
President
Phone
(954) 251-4849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13713 W Sunrise Blvd Ste 205
Sunrise, FL 33323-3213

Mailing address

13713 W Sunrise Blvd Ste 205
Sunrise, FL 33323-3213
Phone (954) 251-4849

National Provider Directory

National Provider Directory

Locations

13713 W Sunrise Blvd
Ste 205
Sunrise, FL 33323
Phone (954) 251-4849

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1396329314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13713 W SUNRISE BLVD STE 205",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233213",
            "telephone_number": "954-251-4849",
            "fax_number": "954-251-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13713 W SUNRISE BLVD STE 205",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233213",
            "telephone_number": "954-251-4849",
            "fax_number": "954-251-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWGRASS GENTLE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "RAPPACCIOLI",
        "authorized_official_first_name": "COTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-251-4849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.