Organization Active NPI

Aa Dental PLLC

  • Dental Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1508104597
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN18817 Issued in FL
Legal business name
AA DENTAL PLLC
Practice address
113 SW 11TH CT
Suite a
Fort Lauderdale, FL 33315-1271
Phone
(954) 463-7972
Fax
(954) 764-5916
NPI assigned
Jan 25, 2013
Last updated
Jan 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Allison Alexander, DMDNPI 1265661144
Title
Dentist/ Owner
Phone
(954) 463-7972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN18817 FL Primary
Dental Clinic/Center 261QD0000X DN16636 FL

Addresses

Primary practice location

113 SW 11TH CT
Suite a
Fort Lauderdale, FL 33315-1271

Mailing address

113 SW 11 CT
Suite a
Fort Lauderdale, FL 33315
Phone (954) 463-7972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1508104597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SW 11 CT",
            "address_2": "SUITE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33315",
            "telephone_number": "954-463-7972",
            "fax_number": "954-764-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SW 11TH CT",
            "address_2": "SUITE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151271",
            "telephone_number": "954-463-7972",
            "fax_number": "954-764-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "954-463-7972",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18817",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN16636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.