Active NPI
Darren Robert Pike, M.S. D.M.D. P.A.
- Periodontics
- Plantation, FL
National Provider Identifier
1588831069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN18141
- Practice address
- 6905 W Broward Blvd
Suite 101
Plantation, FL 33317-2903 - Phone
- (954) 641-0414
- Fax
- (954) 641-0418
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN18141 | FL | Primary |
Addresses
Primary practice location
6905 W Broward Blvd
Suite 101
Plantation, FL 33317-2903
Mailing address
835 NW 5TH Ave
Boca Raton, FL 33432-2511
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222001721 | FL | Order and Referring Only - Oral Surgery | 7911208673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18141 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1588831069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 NW 5TH AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334322511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6905 W BROWARD BLVD",
"address_2": "SUITE 101",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172903",
"telephone_number": "954-641-0414",
"fax_number": "954-641-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "DARREN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.S. D.M.D. P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN18141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.