Sawan Kyle Malik, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN18776 Issued in FL

Practice address

1027 SE 17TH St
Fort Lauderdale, FL 33316-2116

Phone

(954) 916-7664

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broward Periodontics PA

  • Dentist
  • Ft Lauderdale, FL
  • NPI 1639624539
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1770879702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 SE 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162116",
            "telephone_number": "954-916-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 SE 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162116",
            "telephone_number": "954-916-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SAWAN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN18776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenah LLC
• Makent LLC
• Nicholas James Makris, LMHC
• Malaika Homecare and Transportation LLC
• Jessann Marie Maldonado, COTA/L
• Torrie Cole Malik, MS RD LD
• Miorika Malinetescu, RD LD
• Kelli Malkasian, PSYD
• Elizabeth V Malkin
• Anthony Mallace, MS

• Periodontics in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.