Pembroke Pines Family Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

9016 Issued in FL

Legal business name

PEMBROKE PINES FAMILY DENTAL CENTER

Practice address

700 N. Hiatus Road
Suite 201
Pembroke Pines, FL 33026

Phone

(954) 436-3900

Fax

(954) 436-3628

NPI assigned

Oct 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Delroy W. Webb, D.M.D.NPI 1881602415

Title

Owner President

Phone

(954) 436-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Delroy Washington Webb, D.M.D.

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1881602415
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619052404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 260635",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-436-3900",
            "fax_number": "954-436-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N. HIATUS ROAD",
            "address_2": "SUITE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-436-3900",
            "fax_number": "954-436-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE PINES FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DELROY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-436-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "9016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881602415",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pembroke Pines Accident & Injury Center, Inc.
• Pembroke Pines Ambulatory Surgery Center, LLC
• Pembroke Pines Artificial Kidney Center Inc
• Pembroke Pines Community Health Center Inc
• Pembroke Pines Dental Health Center, PA
• Pembroke Pines Medical Center
• Pembroke Pines MRI Inc (DPI of Pembroke Pines)
• Pembroke Pines Pediatric Dentistry
• Pembroke Pines Therapy Center LLC
• Pembroke Pink Imaging LLC

• Dentist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.