Agrawal Endodontics PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

AGRAWAL ENDODONTICS PLLC

Doing business as

Axxon Endodontics

Practice address

12651 W Sunrise Blvd Ste 300
Sunrise, FL 33323-0906

Phone

(617) 816-0261

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By 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

Nitin Agrawal, DMD, MPH, CAGSNPI 1255616421

Title

Ceo

Phone

(617) 816-0261

Specialties & licenses 1

Addresses

Other names 1

• Axxon Endodontics Doing business as

Locations

Practitioners 1

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.

• Nitin Agrawal, D.M.D.

  • Endodontics
  • Sunrise, FL
  • NPI 1255616421
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1477372910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 300",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 300",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "617-816-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGRAWAL ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-816-0261",
        "authorized_official_credential": "DMD, MPH, CAGS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axxon Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Affinity Global Management LLC (Continuum Palliative of Florida)
• Maria Fe Dories Libunao Agdeppa, RPT
• Shanica Agenord
• Yakzan A Agharaad, CERTIFIED PROSTHETIC
• Aging Grace Inc.
• Nitin Agrawal, D.M.D.
• Francy Miribeth Agudelo
• Allison Aguila
• Alyssa Jasmin Aguila
• Jael G Aguilar

• Endodontics in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.