Organization Active NPI

Gordon and Ramirez Dentistry Partnership

  • General Practice Dentistry
  • Hollywood, FL
National Provider Identifier
1588812960
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1005 Issued in FL
Legal business name
GORDON AND RAMIREZ DENTISTRY PARTNERSHIP
Practice address
3990 Sheridan St
#216
Hollywood, FL 33021-3661
Phone
(954) 983-9003
Fax
(954) 987-2098
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Ms. Janique Kondracki
Title
Office Manager
Phone
(954) 983-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1005 FL Primary

Addresses

Primary practice location

3990 Sheridan St
#216
Hollywood, FL 33021-3661

Mailing address

3990 Sheridan St
#216
Hollywood, FL 33021-3661
Phone (954) 983-9003

Other identifiers 2

IdentifierTypeStateIssuer
1154415255OtherFLDENTAL PRACTICE
1780778894OtherFLDENTAL PRACTICE

National Provider Directory

National Provider Directory

Locations

3990 Sheridan St
Ste 216
Hollywood, FL 33021
Phone (954) 983-9003

Practitioners & affiliated clinicians

Practitioners 1

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1588812960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST",
            "address_2": "#216",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213661",
            "telephone_number": "954-983-9003",
            "fax_number": "954-987-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST",
            "address_2": "#216",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213661",
            "telephone_number": "954-983-9003",
            "fax_number": "954-987-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON AND RAMIREZ DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "KONDRACKI",
        "authorized_official_first_name": "JANIQUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-983-9003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN1005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL PRACTICE",
            "identifier": "1154415255",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL PRACTICE",
            "identifier": "1780778894",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.