Organization Active NPI

Evenly Southeast, PLLC

  • Dental Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1730897240
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EVENLY SOUTHEAST, PLLC
Practice address
8223 W Atlantic Blvd
Coral Springs, FL 33071-7450
Phone
(800) 500-0493
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. Shaun Smith, DDSNPI 1932499217
Title
Authorized Member/Orthodontist
Phone
(240) 394-0567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8223 W Atlantic Blvd
Coral Springs, FL 33071-7450

Mailing address

7250 Woodmont Ave Ste 330
Bethesda, MD 20814-3057
Phone (800) 500-0493

National Provider Directory

National Provider Directory

Locations

8223 W Atlantic Blvd
Coral Springs, FL 33071
Phone (954) 368-0105

7250 Woodmont Ave
Ste 330
Bethesda, MD 20814

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1730897240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 WOODMONT AVE STE 330",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143057",
            "telephone_number": "800-500-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717450",
            "telephone_number": "800-500-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENLY SOUTHEAST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER/ORTHODONTIST",
        "authorized_official_telephone_number": "240-394-0567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Nov 14, 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.