NPIMap

Organization Active NPI

DDSC LLC

Doing business as Miracle Dental Center

  • Dentist
  • Hollywood, FL
National Provider Identifier
1891455994
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DDSC LLC
Doing business as
Miracle Dental Center
Practice address
9449 Sheridan St
Hollywood, FL 33024-8561
Phone
(954) 885-9560
NPI assigned
Dec 30, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Dr. Juan Alberto Cerrutti, DDSNPI 1992233167
Title
President/General Dentist
Phone
(954) 885-9560

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: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9449 Sheridan St
Hollywood, FL 33024-8561

Mailing address

9449 Sheridan St
Hollywood, FL 33024-8561
Phone (954) 885-9560

Other names 1

  • Miracle Dental Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maycopa@miracledentalcenter.com

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, 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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1891455994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248561",
            "telephone_number": "954-885-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248561",
            "telephone_number": "954-885-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDSC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "CERRUTTI",
        "authorized_official_first_name": "JUAN ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT/GENERAL DENTIST",
        "authorized_official_telephone_number": "954-885-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maycopa@miracledentalcenter.com",
            "affiliation": "N",
            "address_1": "9449 Sheridan St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330248561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Miracle Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.