Organization Active NPI

Flamingo Pediatric Dentistry, PA

  • Pediatric Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1598335945
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FLAMINGO PEDIATRIC DENTISTRY, PA
Practice address
12301 Taft St Ste 300
Pembroke Pines, FL 33026-4387
Phone
(954) 850-5096
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Daniella C Godoy, DMDNPI 1740770213
Title
Pediatric Dentist/ Ceo
Phone
(954) 850-5096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12301 Taft St Ste 300
Pembroke Pines, FL 33026-4387

Mailing address

2008 Water Ridge Dr
Weston, FL 33326-2388

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.flpediatricdentists.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1598335945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 WATER RIDGE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 TAFT ST STE 300",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264387",
            "telephone_number": "954-850-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO PEDIATRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "GODOY",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/ CEO",
        "authorized_official_telephone_number": "954-850-5096",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.flpediatricdentists.com",
            "affiliation": "N",
            "address_1": "12301 Taft St Ste 300",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330264387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.