Active NPI
Elizabeth Ellen Kerr Amador, DDS
- General Practice Dentistry
- Plantation, FL
National Provider Identifier
1407203169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 21824
- Practice address
- 7500 NW 5TH St Ste 115
Plantation, FL 33317-1612 - Phone
- (954) 791-7172
- NPI assigned
- May 23, 2016
- Last updated
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 21824 | FL | Primary |
Addresses
Primary practice location
7500 NW 5TH St Ste 115
Plantation, FL 33317-1612
Mailing address
7500 NW 5TH St Ste 115
Plantation, FL 33317-1612
Phone (949) 300-5082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 21824 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L Amador DDS PA | Current | Accepting new patients | |
| Mayco Dental, PA | General Practice | Past | Accepting new patients |
| DDSC LLC | Past | Accepting new patients |
Locations
7500 NW 5th St
Ste 115
Plantation, FL 33317
Phone (954) 791-7172
4581 Weston Rd
Weston, FL 33331
Phone (954) 300-4094
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Hollywood, FL
- NPI 1023137429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1407203169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 NW 5TH ST STE 115",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171612",
"telephone_number": "949-300-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 NW 5TH ST STE 115",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171612",
"telephone_number": "954-791-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "ELIZABETH",
"middle_name": "ELLEN KERR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 21824",
"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 Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.