Individual provider Active NPI

Luis Sanchez Cardenas, DMD

  • Dentist
  • Deerfield Beach, FL
National Provider Identifier
1518313345
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23389 Issued in FL
Practice address
100 S Military TRL Ste 4
Deerfield Beach, FL 33442-3031
Phone
(954) 725-3717
NPI assigned
May 11, 2016
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23389 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X 1516 FL

Addresses

Primary practice location

100 S Military TRL Ste 4
Deerfield Beach, FL 33442-3031

Mailing address

4186 NW 43Rd Way
Coconut Creek, FL 33073-4707
Phone (954) 675-5087

Other practice location 1

750 E 25th St
Hialeah, FL 33013-3817
Phone (305) 694-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN23389FLMDDentist
1516FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Family Dental Inc Dentist PastSince Feb 27, 2022 Accepting new patients
Faculty Associates, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1518313345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 NW 43RD WAY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734707",
            "telephone_number": "954-675-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL STE 4",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-725-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133817",
            "country_code": "US",
            "telephone_number": "305-694-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ CARDENAS",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23389",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "1516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.