Organization Active NPI

Dental Implant 24HRS Pembroke Pines LLC

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1457088916
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL IMPLANT 24HRS PEMBROKE PINES LLC
Practice address
9050 Pines Blvd Ste 420
Pembroke Pines, FL 33024-6443
Phone
(954) 697-4533
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Jose Alberto, DDSNPI 1447434832
Title
Ceo
Phone
(786) 683-0698

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 420
Pembroke Pines, FL 33024-6443

Mailing address

8250 SW 180TH St
Palmetto Bay, FL 33157-6130
Phone (786) 229-0698

Other names 1

  • Dr. Implant Doing business as

National Provider Directory

National Provider Directory

Locations

1330 SE 4th Ave
Ste L
Ft Lauderdale, FL 33316
Phone (954) 463-6110

Practitioners & affiliated clinicians

Practitioners 2

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": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1457088916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 SW 180TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576130",
            "telephone_number": "786-229-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 420",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246443",
            "telephone_number": "954-697-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT 24HRS PEMBROKE PINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "ALBERTO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-683-0698",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Implant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.