Organization Active NPI

Ladilia Trifunovic DMD PLLC

  • General Practice Dentistry
  • Sunrise, FL
National Provider Identifier
1649617697
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18492 Issued in FL
Legal business name
LADILIA TRIFUNOVIC DMD PLLC
Practice address
7800 W Oakland Park Blvd
Suite E-112
Sunrise, FL 33351-6741
Phone
(954) 749-2600
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. Ladilia Trifunovic, DMDNPI 1184875544
Title
President
Phone
(954) 552-0828

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN18492 FL Primary

Addresses

Primary practice location

7800 W Oakland Park Blvd
Suite E-112
Sunrise, FL 33351-6741

Mailing address

6919 W Broward Blvd
Suite 133
Plantation, FL 33317-2902
Phone (954) 552-0828

National Provider Directory

National Provider Directory

Locations

7800 W Oakland Park Blvd
Ste E112
Sunrise, FL 33351
Phone (954) 749-2600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1649617697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 W BROWARD BLVD",
            "address_2": "SUITE 133",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172902",
            "telephone_number": "954-552-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD",
            "address_2": "SUITE E-112",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-749-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADILIA TRIFUNOVIC DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "TRIFUNOVIC",
        "authorized_official_first_name": "LADILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-552-0828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.