Organization Active NPI

Jennifer M. Adelson, DDS, PA

Doing business as Tiki Dental

  • Dental Clinic/Center
  • Hallandale Beach, FL
National Provider Identifier
1821401001
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN15540 Issued in FL
Legal business name
JENNIFER M. ADELSON, DDS, PA
Doing business as
Tiki Dental
Practice address
501 Golden Isles Dr
Suite 202
Hallandale Beach, FL 33009-4729
Phone
(954) 889-8889
Fax
(954) 862-6899
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Jennifer M. Adelson, DDSNPI 1588868962
Title
President
Phone
(954) 889-8889

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
Dental Clinic/Center 261QD0000X DN15540 FL Primary

Addresses

Primary practice location

501 Golden Isles Dr
Suite 202
Hallandale Beach, FL 33009-4729

Mailing address

501 Golden Isles Dr
Suite 202
Hallandale Beach, FL 33009-4729
Phone (954) 889-8889

Other names 1

  • Tiki Dental Doing business as

National Provider Directory

National Provider Directory

Locations

501 Golden Isles Dr
Ste 202
Hallandale Beach, FL 33009
Phone (954) 458-4584

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1821401001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOLDEN ISLES DR",
            "address_2": "SUITE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094729",
            "telephone_number": "954-889-8889",
            "fax_number": "954-862-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOLDEN ISLES DR",
            "address_2": "SUITE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094729",
            "telephone_number": "954-889-8889",
            "fax_number": "954-862-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. ADELSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "ADELSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-889-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN15540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiki Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.