Organization Active NPI

West Dixie Health Center Inc.

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1487897534
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST DIXIE HEALTH CENTER INC.
Practice address
703 S Dixie Hwy W
Pompano Beach, FL 33060-8221
Phone
(954) 942-4299
Fax
(954) 942-4294
NPI assigned
Apr 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Ms. Marie Idole Laventure
Title
Office Manager
Phone
(954) 942-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

703 S Dixie Hwy W
Pompano Beach, FL 33060-8221

Mailing address

703 S Dixie Hwy W
Pompano Beach, FL 33060-8221
Phone (954) 942-4299

Other identifiers 1

IdentifierTypeStateIssuer
003460200MedicaidFL

National Provider Directory

National Provider Directory

Locations

703 S Dixie Hwy W
Pompano Beach, FL 33060
Phone (954) 942-4299

703 S Dixie Hwy W
#A
Pompano Beach, FL 33060

Practitioners & affiliated clinicians

Practitioners 1

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": "1240012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1487897534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S DIXIE HWY W",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608221",
            "telephone_number": "954-942-4299",
            "fax_number": "954-942-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S DIXIE HWY W",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608221",
            "telephone_number": "954-942-4299",
            "fax_number": "954-942-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DIXIE HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-18",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "LAVENTURE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "IDOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-942-4299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003460200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.