Organization Active NPI

Sergei Yuryk DDS PA

  • Dental Clinic/Center
  • Hallandale Beach, FL
National Provider Identifier
1407590276
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SERGEI YURYK DDS PA
Doing business as
Oasis Dental Studio
Practice address
1000 E Hallandale Beach Blvd # 1-104
Hallandale Beach, FL 33009-4433
Phone
(847) 977-0699
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Dr. Sergei Yuryk, DDSNPI 1114090362
Title
Doctor/Owner
Phone
(847) 977-0699

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1000 E Hallandale Beach Blvd # 1-104
Hallandale Beach, FL 33009-4433

Mailing address

1000 E Hallandale Beach Blvd # 1-104
Hallandale Beach, FL 33009-4433
Phone (847) 977-0699

Other names 1

  • Oasis Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

1000 E Hallandale Beach Blvd
#1104
Hallandale Beach, FL 33009
Phone (847) 977-0699

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": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1407590276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E HALLANDALE BEACH BLVD # 1-104",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094433",
            "telephone_number": "847-977-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HALLANDALE BEACH BLVD # 1-104",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094433",
            "telephone_number": "847-977-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEI YURYK DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-12-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "YURYK",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "847-977-0699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.