Organization Active NPI

Gentle Teeth and Braces of Weston

  • Dental Clinic/Center
  • Weston, FL
National Provider Identifier
1679110100
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GENTLE TEETH AND BRACES OF WESTON
Practice address
1900 Weston Rd
Weston, FL 33326-3214
Phone
(954) 217-0288
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Dr. Chandy Samuel, DDS
Title
Owner
Phone
(954) 217-0288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1900 Weston Rd
Weston, FL 33326-3214

Mailing address

2751 Executive Park Dr Ste 204
Weston, FL 33331-3661
Phone (954) 217-0288

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Weston
Other URL genteethweston@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1679110100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 EXECUTIVE PARK DR STE 204",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313661",
            "telephone_number": "954-217-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263214",
            "telephone_number": "954-217-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TEETH AND BRACES OF WESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "CHANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-217-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Weston",
            "affiliation": "N",
            "address_1": "2751 Executive Park Dr Ste 204",
            "city": "Weston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333313661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "genteethweston@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2751 Executive Park Dr Ste 204",
            "city": "Weston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333313661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.