NPIMap

Organization Active NPI

Pompano Beach Dental

  • Dentist
  • Coral Springs, FL
National Provider Identifier
1568839751
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19141 Issued in FL
Legal business name
POMPANO BEACH DENTAL
Practice address
10196 W Sample Rd
Coral Springs, FL 33065-3938
Phone
(954) 752-4450
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Tamisha Denis, DMDNPI 1184889917
Title
Owner - President
Phone
(954) 752-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19141 FL Primary

Addresses

Primary practice location

10196 W Sample Rd
Coral Springs, FL 33065-3938

Mailing address

2000 N Federal Hwy
Suite 202
Pompano Beach, FL 33062-1022
Phone (954) 782-6800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1568839751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N FEDERAL HWY",
            "address_2": "SUITE 202",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621022",
            "telephone_number": "954-782-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10196 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653938",
            "telephone_number": "954-752-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO BEACH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "DENIS",
        "authorized_official_first_name": "TAMISHA",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "954-752-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "19141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.