Complete Family Dentistry, LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DN13133 Issued in FL

Legal business name

COMPLETE FAMILY DENTISTRY, LLC

Practice address

3015 Bayview Drive Suite B
Fort Lauderdale, FL 33306

Phone

(954) 564-3244

Fax

(954) 564-3245

NPI assigned

May 4, 2018

Organization subpart

Yes

Parent organization

COMPLETE FAMILY DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Indira Moushati, R.D.H.

Title

Owner/Manager

Phone

(954) 564-3244

Specialties & licenses 1

Addresses

Part of

Complete Family Dentistry LLC

Locations

Practitioners 1

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

• John Moushati, D.M.D.

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1679993992
  NPD (past)

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1740779735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DRIVE",
            "address_2": "SUITE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-564-3244",
            "fax_number": "954-564-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DRIVE SUITE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-564-3244",
            "fax_number": "954-564-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE FAMILY DENTISTRY, LLC",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "MOUSHATI",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "954-564-3244",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN13133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.