NPIMap

Organization Active NPI

Mario Hernadez, DDS, Inc

  • Dental Clinic/Center
  • Lake Clarke Shores, FL
National Provider Identifier
1417098260
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13087 Issued in FL
Legal business name
MARIO HERNADEZ, DDS, INC
Practice address
1870 Forest Hill Blvd
Suite 103
Lake Clarke Shores, FL 33406-8901
Phone
(561) 585-5891
Fax
(561) 586-6014
NPI assigned
Feb 12, 2007
Last updated
Feb 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Mario Hernandez, DDSNPI 1487820296
Title
Dentist
Phone
(561) 585-5891

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 13087 FL Primary

Addresses

Primary practice location

1870 Forest Hill Blvd
Suite 103
Lake Clarke Shores, FL 33406-8901

Mailing address

1870 Forest Hill Blvd
Suite 103
Lake Clarke Shores, FL 33406-8901
Phone (561) 585-5891

National Provider Directory

National Provider Directory

Locations

1870 Forest Hill Blvd
Ste 103
West Palm Beach, FL 33406
Phone (561) 585-5891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1417098260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 FOREST HILL BLVD",
            "address_2": "SUITE 103",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334068901",
            "telephone_number": "561-585-5891",
            "fax_number": "561-586-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 FOREST HILL BLVD",
            "address_2": "SUITE 103",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334068901",
            "telephone_number": "561-585-5891",
            "fax_number": "561-586-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO HERNADEZ, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-585-5891",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.