Periodontics and Implantology of Pembroke Pines

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN 14692 Issued in FL

Legal business name

PERIODONTICS AND IMPLANTOLOGY OF PEMBROKE PINES

Practice address

700 N Hiatus Rd
#201
Pembroke Pines, FL 33026-5206

Phone

(954) 517-1721

Fax

(954) 436-3628

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Denise Anne Brady, DDS

Title

President/Owner

Phone

(954) 517-1721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Periodontology and Implants of Pembroke Pines Other name

Locations

Practitioners 1

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.

• Delroy Washington Webb, D.M.D.

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1881602415
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841374279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "address_2": "#201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-517-1721",
            "fax_number": "954-436-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "address_2": "#201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-517-1721",
            "fax_number": "954-436-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS AND IMPLANTOLOGY OF PEMBROKE PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-517-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 14692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LICENCE",
            "identifier": "DN14692",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontology and Implants of Pembroke Pines",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie Perez
• Vanessa Ashley Perez, APRN
• Yarelis Perez
• Yilian Perez
• Sarah Pergande, DO
• Eliana J. Perissinot-Amar
• Melissa Perlman, DPM
• Calin Pernes, M.D.
• Luna Perricone
• Elizabeth Perrin

• Periodontics in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Periodontics in Florida

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