Individual provider Active NPI

Renae Sweeney

  • General Practice Dentistry
  • Sunrise, FL
National Provider Identifier
1437719150
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24261 Issued in FL
Practice address
8903 W Oakland Park Blvd
Sunrise, FL 33351-7217
Phone
(954) 578-8815
Fax
(954) 578-8813
NPI assigned
Jun 14, 2019
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24261 FL Primary

Addresses

Primary practice location

8903 W Oakland Park Blvd
Sunrise, FL 33351-7217

Mailing address

8903 W Oakland Park Blvd
Sunrise, FL 33351-7217
Phone (954) 578-8815

Other practice location 1

3107 Stirling Rd Ste 108
Fort Lauderdale, FL 33312-8502
Phone (954) 963-3706

Other practice location 2

12000 Biscayne Blvd Ste 130
North Miami, FL 33181-2742
Phone (305) 891-2444

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

LicenseStateTypeSpecialty
24261FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renae Sweeney DMD, PLLC CurrentSince Jul 10, 2022 Accepting new patients
Brad W. Graff D.M.D. PA General Practice Past Accepting new patients
A Dental Art General Practice PastSince Jul 10, 2022 Accepting new patients
Sher Dental of North Miami General Practice Past Accepting new patients

Locations

8903 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 578-8815

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1437719150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517217",
            "telephone_number": "954-578-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517217",
            "telephone_number": "954-578-8815",
            "fax_number": "954-578-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Stirling Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333128502",
            "country_code": "US",
            "telephone_number": "954-963-3706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12000 Biscayne Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812742",
            "country_code": "US",
            "telephone_number": "305-891-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.