Organization Active NPI

Pines Dental Associates Inc

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1881830941
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PINES DENTAL ASSOCIATES INC
Practice address
1541 N Palm Ave
Pembroke Pines, FL 33026-3229
Phone
(954) 432-6133
Fax
(954) 432-8989
NPI assigned
Dec 19, 2008
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Dr. Milton Jaime Ruiz, DMDNPI 1033288063
Title
President
Phone
(954) 432-6133

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1541 N Palm Ave
Pembroke Pines, FL 33026-3229

Mailing address

1541 N Palm Ave
Pembroke Pines, FL 33026-3229
Phone (954) 432-6133

National Provider Directory

National Provider Directory

Locations

1541 N Palm Ave
Pembroke Pines, FL 33026
Phone (954) 432-6133

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1881830941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 N PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263229",
            "telephone_number": "954-432-6133",
            "fax_number": "954-432-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 N PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263229",
            "telephone_number": "954-432-6133",
            "fax_number": "954-432-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES DENTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-432-6133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.