Individual provider Active NPI

Juan Cesar Valdes, DDS

  • General Practice Dentistry
  • Hallandale Beach, FL
National Provider Identifier
1790808137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16227 Issued in FL
Practice address
900 N Federal Hwy
Suite 308
Hallandale Beach, FL 33009-2546
Phone
(954) 454-0959
NPI assigned
Apr 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16227 FL Primary

Addresses

Primary practice location

900 N Federal Hwy
Suite 308
Hallandale Beach, FL 33009-2546

Mailing address

900 N Federal Hwy
Suite 308
Hallandale Beach, FL 33009-2546
Phone (954) 454-0959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 1, 2023 through Sep 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN16227FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Island Dental,PA General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790808137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY",
            "address_2": "SUITE 308",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092546",
            "telephone_number": "954-454-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY",
            "address_2": "SUITE 308",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092546",
            "telephone_number": "954-454-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "JUAN",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.