Individual provider Active NPI

S. Edward Neuwirth, D.D.S.

  • General Practice Dentistry
  • Hallandale Beach, FL
National Provider Identifier
1710993746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3814 Issued in FL
Practice address
2100 E Hallandale Beach Blvd Ste 303
Hallandale Beach, FL 33009-3771
Phone
(954) 456-5611
Fax
(965) 458-7130
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3814 FL Primary

Addresses

Primary practice location

2100 E Hallandale Beach Blvd Ste 303
Hallandale Beach, FL 33009-3771

Mailing address

2100 E Hallandale Beach Blvd Ste 303
Hallandale Beach, FL 33009-3771
Phone (954) 456-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 11, 2016 through Apr 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3814FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710993746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 303",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093771",
            "telephone_number": "954-456-5611",
            "fax_number": "965-458-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 303",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093771",
            "telephone_number": "954-456-5611",
            "fax_number": "965-458-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUWIRTH",
        "first_name": "S.",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "3814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.