NPIMap

Organization Active NPI

Heron Bay Dental Associates, P.a.

  • General Practice Dentistry
  • Coral Springs, FL
National Provider Identifier
1487872230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11976 Issued in FL
Legal business name
HERON BAY DENTAL ASSOCIATES, P.A.
Practice address
5960 Coral Ridge Dr
Coral Springs, FL 33076-3302
Phone
(954) 255-5550
Fax
(954) 755-8276
NPI assigned
Apr 24, 2007
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
Dr. Keith Marlowe Friefeld, D.D.S.
Title
President
Phone
(954) 255-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN11976 FL Primary

Addresses

Primary practice location

5960 Coral Ridge Dr
Coral Springs, FL 33076-3302

Mailing address

5960 Coral Ridge Dr
Coral Springs, FL 33076-3302
Phone (954) 255-5550

National Provider Directory

National Provider Directory

Locations

5960 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 255-5550

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487872230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763302",
            "telephone_number": "954-255-5550",
            "fax_number": "954-755-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763302",
            "telephone_number": "954-255-5550",
            "fax_number": "954-755-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERON BAY DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEFELD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MARLOWE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-255-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, 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.