NPIMap

Organization Active NPI

Perfect Hollywood Smile LLC

  • Dentist
  • Hollywood, FL
National Provider Identifier
1508392903
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PERFECT HOLLYWOOD SMILE LLC
Practice address
5000 Hollywood Blvd
Suite 4
Hollywood, FL 33021-6530
Phone
(954) 963-4700
NPI assigned
May 4, 2017
Last updated
May 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Tamara RojasNPI 1245211317
Title
Dentist
Phone
(954) 922-5011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

5000 Hollywood Blvd
Suite 4
Hollywood, FL 33021-6530

Mailing address

2450 Hollywood Blvd
Suite 400
Hollywood, FL 33020-6619

National Provider Directory

National Provider Directory

Locations

2450 Hollywood Blvd
Ste 400
Hollywood, FL 33020
Phone (954) 922-5011

5000 Hollywood Blvd
Ste 4
Hollywood, FL 33021
Phone (954) 554-8030

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": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1508392903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD",
            "address_2": "SUITE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HOLLYWOOD BLVD",
            "address_2": "SUITE 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216530",
            "telephone_number": "954-963-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT HOLLYWOOD SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-922-5011"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.