NPIMap

Organization Active NPI

Laurie B. Gittess

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Weston, FL
National Provider Identifier
1780067637
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13474 Issued in OH
Legal business name
LAURIE B. GITTESS
Practice address
1625 N Commerce Pkwy
Ste 317
Weston, FL 33326-3216
Phone
(954) 389-2345
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Mrs. Cindy M Duran
Title
Office Manager
Phone
(954) 389-2345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19566 NY
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 13474 OH Primary

Addresses

Primary practice location

1625 N Commerce Pkwy
Ste 317
Weston, FL 33326-3216

Mailing address

1625 N Commerce Pkwy
Ste 317
Weston, FL 33326-3216
Phone (954) 389-2345

Other identifiers 2

IdentifierTypeStateIssuer
007987200MedicaidFL
010596200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1625 N Commerce Pkwy
Ste 317
Weston, FL 33326
Phone (954) 389-2345

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1780067637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N COMMERCE PKWY",
            "address_2": "STE 317",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263216",
            "telephone_number": "954-389-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N COMMERCE PKWY",
            "address_2": "STE 317",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263216",
            "telephone_number": "954-389-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE B. GITTESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-389-2345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "19566",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "13474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007987200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010596200",
            "state": "FL"
        }
    ],
    "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 9, 2015; 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.