Organization Active NPI

Hallandale Beach Dental PA

  • General Practice Dentistry
  • Hallandale Beach, FL
National Provider Identifier
1669613436
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13003 Issued in FL
Legal business name
HALLANDALE BEACH DENTAL PA
Practice address
1440 East Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone
(954) 458-1133
Fax
(954) 458-5696
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HALLANDALE BEACH DENTAL PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Raphael Arwas, DDSNPI 1891164059
Title
Dentist
Phone
(954) 458-1133

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 Dentistry 1223G0001X DN13003 FL Primary

Addresses

Primary practice location

1440 East Hallandale Beach Blvd
Hallandale Beach, FL 33009

Mailing address

1440 East Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1133

National Provider Directory

National Provider Directory
Part of
Hallandale Beach Dental PA

Locations

1440 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1669613436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 EAST HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-458-1133",
            "fax_number": "954-458-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 EAST HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-458-1133",
            "fax_number": "954-458-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLANDALE BEACH DENTAL PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALLANDALE BEACH DENTAL PA",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "ARWAS",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-458-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.