Countyline Dentistry PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COUNTYLINE DENTISTRY PA

Practice address

21475 NW 2ND Ave
Miami, FL 33169-3316

Phone

(305) 654-1234

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Chris Keane, DMDNPI 1831543909

Title

President/ Owner

Phone

(954) 298-5582

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Keane

  • Dentist
  • SW Ranches, FL
  • NPI 1831543909
  NPD (past) Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1548892995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 SW 52ND PL",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311340",
            "telephone_number": "954-298-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331693316",
            "telephone_number": "305-654-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTYLINE DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "954-298-5582",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Country Walk Pharmacy
• Country Walk Pharmacy & Discount Inc
• Countrywide Billing Services Inc
• County Line Chiropractic Center, Inc.
• Countyline Dental, LLP
• Countywide Taxi, Inc
• Sarah Ken Couper, FNP, PMHNP
• Steve Clifford Courel, M.D.
• Maria De Lurdes Couret Morales
• Ana Couriel

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.