Individual provider Active NPI

Kayla Tommie, DMD

  • General Practice Dentistry
  • Sunrise, FL
National Provider Identifier
1659963791
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24158 Issued in FL
Practice address
7800 W Oakland Park Blvd Ste 114F
Sunrise, FL 33351-1122
Phone
(954) 741-5006
Fax
(954) 741-8124
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN24158 FL Primary

Addresses

Primary practice location

7800 W Oakland Park Blvd Ste 114F
Sunrise, FL 33351-1122

Mailing address

5307 White Oak LN
Tamarac, FL 33319-3058

Other practice location 1

5307 White Oak Ln
Tamarac, FL 33319-3058
Phone (305) 542-4521

Other names 1

  • Kayla Chin Nuke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24158FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tommie Dental, Inc CurrentSince Jan 19, 2025 Accepting new patients
Caring Dental Services 2 LLC General Practice CurrentSince Jan 19, 2025 Accepting new patients
Broward Family Dental Care, Inc. PastSince Feb 1, 2021 Accepting new patients
DLC Dental Inc PastSince Feb 1, 2021 Accepting new patients

Locations

7800 W Oakland Park Blvd
Ste 114F
Sunrise, FL 33351
Phone (954) 741-5006

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1659963791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 WHITE OAK LN",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD STE 114F",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333511122",
            "telephone_number": "954-741-5006",
            "fax_number": "954-741-8124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5307 White Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333193058",
            "country_code": "US",
            "telephone_number": "305-542-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMMIE",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "CHIN NUKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 13, 2025; 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.