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

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

Organization subpart

No

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.

Title

President

Phone

(954) 255-2787

Specialties & licenses 1

Addresses

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": []
}

• Marisol Wetzstein Jimenez, M.A.
• Natalie Jimenez, LMFT
• Jnac Group, Inc
• Joel I Kimmel PHD PA
• Vera Joffe, PH.D.
• John T Grigg MD PA
• Serinah John
• Trina Johnson Pettiford
• Ashanti Johnson
• Dana Carol Johnson, MS CCC-SLP

• Pediatric Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pediatric Dentistry in Florida

• 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.