Organization Active NPI

Javier M Zawadzky D.M.D, PA

Doing business as Life Dental Care

  • General Practice Dentistry
  • Deerfield Beach, FL
National Provider Identifier
1518370071
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19098 Issued in FL
Legal business name
JAVIER M ZAWADZKY D.M.D, PA
Doing business as
Life Dental Care
Practice address
123 N Powerline Rd
Deerfield Beach, FL 33442-8037
Phone
(954) 429-8840
Fax
(954) 429-8842
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Mr. Javier Mauricio Zawadzky, D.M.DNPI 1245541507
Title
Dentist/Owner
Phone
(954) 600-6839

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN19098 FL Primary

Addresses

Primary practice location

123 N Powerline Rd
Deerfield Beach, FL 33442-8037

Mailing address

1171 NW 106TH Ave
Plantation, FL 33322-7817
Phone (954) 600-6839

Other names 1

  • Life Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

123 N Powerline Rd
Deerfield Beach, FL 33442
Phone (954) 429-8840

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1518370071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 NW 106TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333227817",
            "telephone_number": "954-600-6839",
            "fax_number": "954-429-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N POWERLINE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428037",
            "telephone_number": "954-429-8840",
            "fax_number": "954-429-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER M ZAWADZKY D.M.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "ZAWADZKY",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "MAURICIO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "954-600-6839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 2014; 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.