Cristal Pediatric Smile

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRISTAL PEDIATRIC SMILE

Practice address

7737 N University Dr Ste 100
Tamarac, FL 33321-2968

Phone

(215) 939-0849

NPI assigned

Sep 22, 2022

Last updated

Sep 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alejandra Romero, DMDNPI 1316310303

Title

Pediatric Dentistry

Phone

(215) 939-0849

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Alejandra Romero, D.M.D

  • Pediatric Dentistry
  • Tamarac, FL
  • NPI 1316310303
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1689397796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR STE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212968",
            "telephone_number": "215-939-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR STE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212968",
            "telephone_number": "215-939-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTAL PEDIATRIC SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "PEDIATRIC DENTISTRY",
        "authorized_official_telephone_number": "215-939-0849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316310303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette Coy- McFarlane, APRN BC
• Ryan P Coyle, DPT
• CRC Health Treatment Clinics, LLC (Ft. Lauderdale Comprehensive Treatment Center)
• Eileen Crigler
• Stephen Criscuolo, DMD
• Tierra S Crooks
• Harley Cruz Cosio
• Csi-Pediatric Services, LLC (Csi-Special Care)
• Ana Elsa Cuevas, BEHAVIOR TECHNICIAN
• Cherison Andrew Cuffy, D.P.M.

• Dental Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.