Organization Active NPI

Center for Complete Dentistry of Pembroke Pines

  • Preferred Provider Organization
  • Pembroke Pines, FL
National Provider Identifier
1497179725
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DN11076 Issued in FL
Legal business name
CENTER FOR COMPLETE DENTISTRY OF PEMBROKE PINES
Practice address
700 N Hiatus Rd
Suite 102
Pembroke Pines, FL 33026-5206
Phone
(954) 392-1635
Fax
(954) 392-1637
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Arun K Garg, DMD
Title
Dentist
Phone
(954) 392-1635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DN11076 FL Primary

Addresses

Primary practice location

700 N Hiatus Rd
Suite 102
Pembroke Pines, FL 33026-5206

Mailing address

700 N Hiatus Rd
Suite 102
Pembroke Pines, FL 33026-5206
Phone (954) 392-1635

National Provider Directory

National Provider Directory

Locations

700 N Hiatus Rd
Ste 102
Pembroke Pines, FL 33026
Phone (561) 270-0209

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1497179725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "address_2": "SUITE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-392-1635",
            "fax_number": "954-392-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "address_2": "SUITE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-392-1635",
            "fax_number": "954-392-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COMPLETE DENTISTRY OF PEMBROKE PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-392-1635",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN11076",
            "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 Feb 6, 2014; 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.