Active NPI
Dental Partners of Weston
- Dentist
- Weston, FL
National Provider Identifier
1497802284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0012295
- Legal business name
- DENTAL PARTNERS OF WESTON
- Practice address
- 2721 Executive Park Dr #1
Weston, FL 33331 - Phone
- (954) 385-5855
- Fax
- (954) 385-5258
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ralph Collazo
- Title
- President
- Phone
- (954) 385-5855
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN0012295 | FL | Primary |
| Dentist | 122300000X | DN0011940 | FL |
Addresses
Primary practice location
2721 Executive Park Dr #1
Weston, FL 33331
Mailing address
2721 Executive Park Dr #1
Weston, FL 33331
Phone (954) 385-5855
National Provider Directory
National Provider DirectoryLocations
2721 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 385-5855
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Weston, FL
- NPI 1962015990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1497802284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 EXECUTIVE PARK DR #1",
"city": "WESTON",
"state": "FL",
"postal_code": "33331",
"telephone_number": "954-385-5855",
"fax_number": "954-385-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 EXECUTIVE PARK DR #1",
"city": "WESTON",
"state": "FL",
"postal_code": "33331",
"telephone_number": "954-385-5855",
"fax_number": "954-385-5258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PARTNERS OF WESTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "COLLAZO",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-385-5855",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN0012295",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN0011940",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.