NPIMap

Organization Active NPI

Land of Smiles P.a.

  • Pediatric Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1790388155
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LAND OF SMILES P.A.
Practice address
18503 Pines Blvd Ste 209
Pembroke Pines, FL 33029-1405
Phone
(954) 436-0502
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Rene Luis Landa, MDNPI 1215166368
Title
Pediatric Dentist/Owner
Phone
(954) 436-0502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

18503 Pines Blvd Ste 209
Pembroke Pines, FL 33029-1405

Mailing address

6505 SW 20TH CT
Plantation, FL 33317-5147
Phone (786) 488-3796

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1790388155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 SW 20TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175147",
            "telephone_number": "786-488-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 209",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291405",
            "telephone_number": "954-436-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND OF SMILES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "954-436-0502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.