NPIMap

Organization Active NPI

Sun East Dental P.a.

  • Dentist
  • Pembroke Pines, FL
National Provider Identifier
1487667804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0012980 Issued in FL
Legal business name
SUN EAST DENTAL P.A.
Practice address
19620 Pines Blvd
Suite 203
Pembroke Pines, FL 33029-1301
Phone
(954) 885-5351
Fax
(954) 885-5352
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Cecilia Verne, DDS
Title
Dentist - President
Phone
(954) 885-5351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN0012980 FL Primary

Addresses

Primary practice location

19620 Pines Blvd
Suite 203
Pembroke Pines, FL 33029-1301

Mailing address

19620 Pines Blvd
Suite 203
Pembroke Pines, FL 33029-1301
Phone (954) 885-5351

National Provider Directory

National Provider Directory

Locations

19620 Pines Blvd
Ste 203
Pembroke Pines, FL 33029
Phone (954) 885-5351

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487667804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 PINES BLVD",
            "address_2": "SUITE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291301",
            "telephone_number": "954-885-5351",
            "fax_number": "954-885-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19620 PINES BLVD",
            "address_2": "SUITE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291301",
            "telephone_number": "954-885-5351",
            "fax_number": "954-885-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN EAST DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERNE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "DENTIST - PRESIDENT",
        "authorized_official_telephone_number": "954-885-5351",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.