Dentistart Group

Primary specialty

DentistTaxonomy code 122300000X

License

DN 17926 Issued in FL

Legal business name

DENTISTART GROUP

Practice address

9955 NW 31St St Ste 203
Coral Springs, FL 33065-3951

Phone

(954) 383-4875

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lui Hernando Ochoa, DDS

Title

President

Phone

(954) 383-4875

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1740681709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 NW 31ST ST STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653951",
            "telephone_number": "954-383-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 NW 31ST ST STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653951",
            "telephone_number": "954-383-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTART GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "LUI",
        "authorized_official_middle_name": "HERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-383-4875",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17926",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.