NPIMap

Organization Active NPI

Oscar Gonzalez DDS PA

Doing business as Flamingo Commons Dental

  • Dentist
  • Davie, FL
National Provider Identifier
1609083542
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15086 Issued in FL
Legal business name
OSCAR GONZALEZ DDS PA
Doing business as
Flamingo Commons Dental
Practice address
12565 Orange Dr
Suite 414
Davie, FL 33330-4303
Phone
(954) 382-9696
Fax
(954) 382-9697
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Oscar GonzalezNPI 1417018508
Title
Owner
Phone
(954) 382-9696

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN15086 FL Primary

Addresses

Primary practice location

12565 Orange Dr
Suite 414
Davie, FL 33330-4303

Mailing address

12565 Orange Dr
Suite 414
Davie, FL 33330-4303
Phone (954) 382-9696

Other names 1

  • Flamingo Commons Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12565 Orange Dr
Ste 414
Davie, FL 33330
Phone (954) 382-9696

Practitioners & affiliated clinicians

Practitioners 3

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1609083542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12565 ORANGE DR",
            "address_2": "SUITE 414",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304303",
            "telephone_number": "954-382-9696",
            "fax_number": "954-382-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 ORANGE DR",
            "address_2": "SUITE 414",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304303",
            "telephone_number": "954-382-9696",
            "fax_number": "954-382-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR GONZALEZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-382-9696",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flamingo Commons Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.