NPIMap

Organization Active NPI

Allure Dental PLLC

  • Dentist
  • Tamarac, FL
National Provider Identifier
1649784166
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALLURE DENTAL PLLC
Practice address
4267 W Commercial Blvd
Tamarac, FL 33319-3305
Phone
(954) 677-3202
Fax
(954) 677-3201
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Nadia Kahook
Title
Credentialing Director
Phone
(954) 446-5797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4267 W Commercial Blvd
Tamarac, FL 33319-3305

Mailing address

4267 W Commercial Blvd
Tamarac, FL 33319-3305
Phone (954) 677-3202

Other identifiers 1

IdentifierTypeStateIssuer
076461200MedicaidFL

National Provider Directory

National Provider Directory

Locations

4267 W Commercial Blvd
Tamarac, FL 33319
Phone (954) 677-3202

Practitioners & affiliated clinicians

Practitioners 6

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": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1649784166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193305",
            "telephone_number": "954-677-3202",
            "fax_number": "954-677-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193305",
            "telephone_number": "954-677-3202",
            "fax_number": "954-677-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "KAHOOK",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "954-446-5797"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076461200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.