Organization Active NPI

Dental Smiles of Lauderhill

  • General Practice Dentistry
  • Lauderhill, FL
National Provider Identifier
1669953402
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0014173 Issued in FL
Legal business name
DENTAL SMILES OF LAUDERHILL
Practice address
7193 W Oakland Park Blvd
Lauderhill, FL 33313-1050
Phone
(954) 741-0102
Fax
(954) 741-4156
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Authorized official

Name
Mr. Oscar Miranda
Title
Vice President
Phone
(323) 826-4199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN0014173 FL Primary

Addresses

Primary practice location

7193 W Oakland Park Blvd
Lauderhill, FL 33313-1050

Mailing address

7193 W Oakland Park Blvd
Lauderhill, FL 33313-1050
Phone (954) 741-0102

Other names 1

  • Dental Smiles of lauderhill Former legal business name

National Provider Directory

National Provider Directory

Locations

7193 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 741-0102

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": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1669953402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7193 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131050",
            "telephone_number": "954-741-0102",
            "fax_number": "954-741-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7193 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131050",
            "telephone_number": "954-741-0102",
            "fax_number": "954-741-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILES OF LAUDERHILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-826-4199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Smiles of lauderhill",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dental Smiles of lauderhill",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.