Joan Ninon La Salvia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23388 Issued in FL

Practice address

100 NW 82ND Ave Ste 203
Plantation, FL 33324-1899

Phone

(954) 475-9455

Fax

(954) 475-9931

NPI assigned

May 22, 2007

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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

• Friedman Dental Tamarac

  • Dentist
  • Tamarac, FL
  • NPI 1568999209
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1710196977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE STE 203",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241899",
            "telephone_number": "954-475-9455",
            "fax_number": "954-475-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE STE 203",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241899",
            "telephone_number": "954-475-9455",
            "fax_number": "954-475-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SALVIA",
        "first_name": "JOAN",
        "middle_name": "NINON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shashidhar Kusuma, M.D.
• Sergio Kuttler, BS, DDS
• Alexia Kyle Kwiatkowski, PT, DPT, CLT
• Susan Kwiatkowski, PA-C
• L & D Ocean Home Health Care Corp
• La Training and Staffing Corporation
• Chanel Labasan
• Veronica Labrador
• Amanda Lackaye, DNP, CRNA
• Sita Lacknauth

• General Practice Dentistry in Plantation, FL
• Providers in Plantation, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.