NPIMap

Organization Active NPI

JB Oasis Dental PA

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1528948619
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JB OASIS DENTAL PA
Practice address
10796 Pines Blvd Ste 203
Pembroke Pines, FL 33026-3919
Phone
(954) 499-1599
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Juan Fajardo, DMDNPI 1275150799
Title
Dentist
Phone
(786) 873-3429

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10796 Pines Blvd Ste 203
Pembroke Pines, FL 33026-3919

Mailing address

10796 Pines Blvd Ste 203
Pembroke Pines, FL 33026-3919

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1528948619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD STE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD STE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263919",
            "telephone_number": "954-499-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB OASIS DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-873-3429",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.