NPIMap

Organization Active NPI

Sergio Jacas DMD LLC

  • Dentist
  • Lauderhill, FL
National Provider Identifier
1831775816
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SERGIO JACAS DMD LLC
Practice address
7000 W Oakland Park Blvd Ste 301
Lauderhill, FL 33313-1016
Phone
(954) 742-3550
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Sergio Jacas, DMDNPI 1184004228
Title
Owner
Phone
(954) 742-3550

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7000 W Oakland Park Blvd Ste 301
Lauderhill, FL 33313-1016

Mailing address

7000 W Oakland Park Blvd Ste 301
Lauderhill, FL 33313-1016
Phone (954) 742-3550

Other names 1

  • Jacas Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1831775816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W OAKLAND PARK BLVD STE 301",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131016",
            "telephone_number": "954-742-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W OAKLAND PARK BLVD STE 301",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131016",
            "telephone_number": "954-742-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO JACAS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "JACAS",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-742-3550",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacas Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.