Individual provider Active NPI

Brian P. Rask, DMD

  • General Practice Dentistry
  • Pompano Beach, FL
National Provider Identifier
1568670354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16824 Issued in FL
Practice address
2701 NE 14TH Street Cswy
Ste. 2
Pompano Beach, FL 33062-3535
Phone
(954) 782-1864
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16824 FL Primary

Addresses

Primary practice location

2701 NE 14TH Street Cswy
Ste. 2
Pompano Beach, FL 33062-3535

Mailing address

2701 NE 14TH Street Cswy
Ste. 2
Pompano Beach, FL 33062-3535
Phone (954) 782-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208002377 FL Order and Referring Only - DentistPractitioner - Dentist 6103106109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568670354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NE 14TH STREET CSWY",
            "address_2": "STE. 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623535",
            "telephone_number": "954-782-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NE 14TH STREET CSWY",
            "address_2": "STE. 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623535",
            "telephone_number": "954-782-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASK",
        "first_name": "BRIAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.