Broward Family Dental Care, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DN14848 Issued in FL

Legal business name

BROWARD FAMILY DENTAL CARE, INC.

Practice address

6260 W Oakland Park Blvd
Sunrise, FL 33313-1214

Phone

(954) 742-7995

Fax

(954) 742-2857

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sayed M Fadavi, DDSNPI 1245247097

Title

President

Phone

(954) 742-7995

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sayed Masoud Fadavi, D.D.S.

  • General Practice Dentistry
  • Panorama City, CA
  • NPI 1245247097
  NPD (past) Authorized official
• Kayla Tommie, DMD

  • General Practice Dentistry
  • Sunrise, FL
  • NPI 1659963791
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1639554108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333131214",
            "telephone_number": "954-742-7995",
            "fax_number": "954-742-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333131214",
            "telephone_number": "954-742-7995",
            "fax_number": "954-742-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD FAMILY DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "FADAVI",
        "authorized_official_first_name": "SAYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-742-7995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014279900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin J Brody, HAS, BC-HIS
• Marcellous Brookins
• Maria Brooks, LCSW
• Shannon Kristine Brooks, APRN, NNP-BC
• Glenn Brosnick
• Broward General Oncology Associates
• Broward Health & Rehab Corporation
• Broward Internal Medicine P a
• Broward-Palm Beach Home Care Services, Inc.
• Diana Brown Omeally, RN

• Dentist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.