Hallandale Dental Group, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HALLANDALE DENTAL GROUP, LLC

Practice address

200 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5525

Phone

(954) 718-3384

Fax

(561) 431-2468

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Ingrid Johanna Romero, DMDNPI 1972807204

Title

Owner

Phone

(954) 718-3384

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Under 21 Other name

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: mclaudia@hgdoctors.com

Practitioners 1

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

• Ingrid Johanna Romero, D.M.D

  • General Practice Dentistry
  • Delray Beach, FL
  • NPI 1972807204
  NPD Authorized official

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1568081909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095525",
            "telephone_number": "954-718-3384",
            "fax_number": "561-431-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095525",
            "telephone_number": "954-718-3384",
            "fax_number": "561-431-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLANDALE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-718-3384",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1972807204",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mclaudia@hgdoctors.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Hallandale Beach Blvd",
            "city": "Hallandale Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330095525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Under 21",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dana Haimo, PA-C
• Hallandale Beach Dental Care
• Hallandale Beach Dental PA
• Hallandale Beach Orthopedics, Inc.
• Hallandale Chiropractic Center, Inc.
• Hallandale Health Spa-Clinic
• Hallandale Imaging&Diagnostic, Inc.
• Hallandale Medical Associates, Inc
• Hallandale Medical Center Inc.
• Hallandale Outpatient Surgical Center,LTD

• Dental Clinic/Center in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.