NPIMap

Organization Active NPI

John S Bazos,D.M.D.,P.a.

  • Pediatric Dentistry
  • Coral Springs, FL
National Provider Identifier
1720009848
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS 12263 Issued in FL
Legal business name
JOHN S BAZOS,D.M.D.,P.A.
Practice address
9156 Wiles Rd
Coral Springs, FL 33067-1999
Phone
(954) 255-2787
Fax
(954) 255-8307
NPI assigned
Jul 22, 2006
Last updated
Aug 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. John Bazos, D.M.D.NPI 1861416976
Title
President
Phone
(954) 255-2787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DS 12263 FL Primary

Addresses

Primary practice location

9156 Wiles Rd
Coral Springs, FL 33067-1999

Mailing address

9156 Wiles Rd
Coral Springs, FL 33067-1999
Phone (954) 255-2787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1720009848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9156 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671999",
            "telephone_number": "954-255-2787",
            "fax_number": "954-255-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9156 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671999",
            "telephone_number": "954-255-2787",
            "fax_number": "954-255-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S BAZOS,D.M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "BAZOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-255-2787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DS 12263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.