Organization Active NPI

Dental Partners of Weston

  • Dentist
  • Weston, FL
National Provider Identifier
1497802284
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0012295 Issued in FL
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

Updated by the provider on Nov 19, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN0012295 FL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.