Individual provider Active NPI

Haralambos Bob Vlahos, DMD

  • General Practice Dentistry
  • Pompano Beach, FL
National Provider Identifier
1619005337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16090 Issued in FL
Practice address
2701 NE 14TH Street Cswy
Suite#1
Pompano Beach, FL 33062-3535
Phone
(954) 941-2490
Fax
(954) 941-1470
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16090 FL Primary

Addresses

Primary practice location

2701 NE 14TH Street Cswy
Suite#1
Pompano Beach, FL 33062-3535

Mailing address

2701 NE 14TH Street Cswy
Suite#1
Pompano Beach, FL 33062-3535
Phone (954) 941-2490

Other identifiers 2

IdentifierTypeStateIssuer
84585OtherFLBLUE CROSS PROVIDER ID
1576740OtherFLUNITED CONCORDIA PROVIDER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308000732 FL Order and Referring Only - DentistPractitioner - Dentist 5698071264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Americas Bright Smiles of Pompano Beach PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619005337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NE 14TH STREET CSWY",
            "address_2": "SUITE#1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623535",
            "telephone_number": "954-941-2490",
            "fax_number": "954-941-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NE 14TH STREET CSWY",
            "address_2": "SUITE#1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623535",
            "telephone_number": "954-941-2490",
            "fax_number": "954-941-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLAHOS",
        "first_name": "HARALAMBOS",
        "middle_name": "BOB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "84585",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1576740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.