Individual provider Active NPI

Max Andrew Zaslavsky, DMD

  • Dentist
  • Oakland Park, FL
National Provider Identifier
1457413304
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16890 Issued in FL
Practice address
3400 NE 12TH Ave
Ste B
Oakland Park, FL 33334
Phone
(954) 491-3544
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16890 FL Primary

Addresses

Primary practice location

3400 NE 12TH Ave
Ste B
Oakland Park, FL 33334

Mailing address

3400 NE 12TH Ave
Ste B
Oakland Park, FL 33334
Phone (954) 491-3544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150115000959 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608190939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16890FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Max Zaslavsky DMD PA Dentist CurrentSince Sep 14, 2025 Accepting new patients

Locations

6451 N Federal Hwy
Ste 129
Ft Lauderdale, FL 33308

3400 NE 12th Ave
Ste B
Oakland Park, FL 33334
Phone (954) 491-3544

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1457413304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NE 12TH AVE",
            "address_2": "STE B",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-491-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NE 12TH AVE",
            "address_2": "STE B",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-491-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASLAVSKY",
        "first_name": "MAX",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "16890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.