Organization Active NPI

Lakes Plaza Dental Associates, PA

  • General Practice Dentistry
  • Weston, FL
National Provider Identifier
1740333723
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 9895 Issued in FL
Legal business name
LAKES PLAZA DENTAL ASSOCIATES, PA
Practice address
290 Indian Trce
Weston, FL 33326-4509
Phone
(954) 349-4004
NPI assigned
Jan 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Stephen J Pyle, DDS
Title
President
Phone
(954) 349-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN 9895 FL Primary

Addresses

Primary practice location

290 Indian Trce
Weston, FL 33326-4509

Mailing address

290 Indian Trce
Weston, FL 33326-4509
Phone (954) 349-4004

National Provider Directory

National Provider Directory

Locations

290 Indian Trce
Weston, FL 33326
Phone (954) 349-4004

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1740333723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 INDIAN TRCE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264509",
            "telephone_number": "954-349-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 INDIAN TRCE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264509",
            "telephone_number": "954-349-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES PLAZA DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-349-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 9895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.