Active NPI
Patricia Gonzalez Templeton D.D.S, LLC
- Pediatric Dentistry
- Pembroke Pines, FL
National Provider Identifier
1619362209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- PATRICIA GONZALEZ TEMPLETON D.D.S, LLC
- Practice address
- 2249 N University Dr
Pembroke Pines, FL 33024-3611 - Phone
- (954) 983-1680
- Fax
- (954) 983-1181
- NPI assigned
- Apr 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Gonzalez Templeton
- Title
- Pediatric Dentist
- Phone
- (954) 983-1680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
2249 N University Dr
Pembroke Pines, FL 33024-3611
Mailing address
2249 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 983-1680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071786000 | Medicaid | FL | |
| 074448400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428537600000",
"number": "1619362209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243611",
"telephone_number": "954-983-1680",
"fax_number": "954-983-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243611",
"telephone_number": "954-983-1680",
"fax_number": "954-983-1181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA GONZALEZ TEMPLETON D.D.S, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-09",
"status": "A",
"authorized_official_last_name": "TEMPLETON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "GONZALEZ",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "954-983-1680",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071786000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074448400",
"state": "FL"
}
],
"endpoints": [],
"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 Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.