Lauderdale Dentistry for Kids LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAUDERDALE DENTISTRY FOR KIDS LLC

Practice address

4500 N State Road 7 Ste 101
Lauderdale Lakes, FL 33319-5868

Phone

(954) 261-7551

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David Tijerino, DDS

Title

President

Phone

(786) 637-4844

Specialties & licenses 1

Addresses

Other names 1

• Lauderdale Dentistry For Kids LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azin Haghighi, DMD

  • General Practice Dentistry
  • Miami, FL
  • NPI 1730512781
  NPD (past)

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1740756501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N STATE ROAD 7 STE 101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195868",
            "telephone_number": "954-261-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N STATE ROAD 7 STE 101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195868",
            "telephone_number": "954-261-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERDALE DENTISTRY FOR KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "TIJERINO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-637-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauderdale Dentistry For Kids LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.