Park Plaza Dental Care

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PARK PLAZA DENTAL CARE

Practice address

1144 N Federal Hwy
Pompano Beach, FL 33062-4322

Phone

(954) 998-5000

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Forrest

Title

DDS/Owner

Phone

(954) 998-5000

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1417595893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624322",
            "telephone_number": "954-998-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624322",
            "telephone_number": "954-998-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLAZA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "954-998-5000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@1500dental.com",
            "affiliation": "N",
            "address_1": "1144 N Federal Hwy",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330624322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Periodontics in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.