Organization Active NPI

Michael P. Logue, D.M.D., P.a.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1427365204
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DN12346 Issued in FL
Legal business name
MICHAEL P. LOGUE, D.M.D., P.A.
Practice address
1800 N Federal Hwy
Suite 201
Pompano Beach, FL 33062-1034
Phone
(954) 941-2727
Fax
(954) 941-1116
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Michael P Logue, D.M.D.NPI 1801998067
Title
President/Oral Surgeon
Phone
(954) 941-2727

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DN12346 FL Primary

Addresses

Primary practice location

1800 N Federal Hwy
Suite 201
Pompano Beach, FL 33062-1034

Mailing address

1800 N Federal Hwy
Suite 201
Pompano Beach, FL 33062-1034
Phone (954) 941-2727

National Provider Directory

National Provider Directory

Locations

1800 N Federal Hwy
Ste 201
Pompano Beach, FL 33062
Phone (954) 941-2727

Practitioners & affiliated clinicians

Practitioners 4

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": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1427365204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-941-2727",
            "fax_number": "954-941-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-941-2727",
            "fax_number": "954-941-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. LOGUE, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "LOGUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/ORAL SURGEON",
        "authorized_official_telephone_number": "954-941-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN12346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.