Sunrise Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14972 Issued in FL

Legal business name

SUNRISE FAMILY DENTISTRY

Practice address

10108 W Oklnd PK Blvd
Sunrise, FL 33351-6963

Phone

(954) 900-2059

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Ilya Stein, DMD

Title

P

Phone

(954) 900-2059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1790026581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 W OKLND PK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10108 W OKLND PK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516963",
            "telephone_number": "954-900-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "P",
        "authorized_official_telephone_number": "954-900-2059",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Cardiology Assoc.
• Sunrise Chiropractic Wellness Center, LLC
• Sunrise Counseling and Life Coaching, PLLC
• Sunrise Dental Services, PLLC
• Sunrise Eyecare Specialty Lenses and Dry Eye Institute
• Sunrise Family Smiles, PA
• Sunrise FL Opco LLC
• Sunrise Laser & Hormone Institute
• Sunrise Medical Equipment & Oxygen Inc
• Sunrise Mex Corp

• General Practice Dentistry in Sunrise, FL
• Providers in Sunrise, 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 Mar 5, 2013; 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.