Durgesh D. Thaker, B.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9492 Issued in FL

Practice address

5473 N State Road 7
Tamarac, FL 33319-2954

Phone

(954) 486-7025

Fax

(954) 485-2209

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentilife Four PA

  • Dentist
  • Fort Lauderdale, FL
  • NPI 1891309514
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1659541555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 N STATE ROAD 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192954",
            "telephone_number": "954-486-7025",
            "fax_number": "954-485-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 N STATE ROAD 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192954",
            "telephone_number": "954-486-7025",
            "fax_number": "954-485-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "DURGESH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "B.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "9492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.