Dental Heaven P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12108 Issued in FL

Legal business name

DENTAL HEAVEN P.A.

Practice address

135 S US Highway 27
South Bay, FL 33493-2213

Phone

(561) 996-0033

Fax

(561) 996-0044

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Silvia Menendez

Title

Administrator

Phone

(561) 996-0033

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HEAVENLY SMILES Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Baldwin, D.D.S

  • Dentist
  • South Bay, FL
  • NPI 1073066551
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1871861443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S US HIGHWAY 27",
            "city": "SOUTH BAY",
            "state": "FL",
            "postal_code": "334932213",
            "telephone_number": "561-996-0033",
            "fax_number": "561-996-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S US HIGHWAY 27",
            "city": "SOUTH BAY",
            "state": "FL",
            "postal_code": "334932213",
            "telephone_number": "561-996-0033",
            "fax_number": "561-996-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEAVEN P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-996-0033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071862900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAVENLY SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baldwin Dentistry PA
• Anthony Baldwin, D.D.S
• Goncan, Inc
• Goncan, Inc
• Ceela Harris
• Anquonette Irving, M.ED
• Tabitha Eve Kalkstein, PH.D., L.M.H.C.

• General Practice Dentistry in South Bay, FL
• Providers in South Bay, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.