Organization Active NPI

Hollywood Dental Care

  • General Practice Dentistry
  • Hollywood, FL
National Provider Identifier
1902143530
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN3884 Issued in FL
Legal business name
HOLLYWOOD DENTAL CARE
Practice address
2303 Hollywood Blvd
Suite 14
Hollywood, FL 33020-6711
Phone
(954) 367-5671
Fax
(954) 653-1326
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Peter Gangi
Title
Office Manager
Phone
(954) 367-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN3884 FL Primary

Addresses

Primary practice location

2303 Hollywood Blvd
Suite 14
Hollywood, FL 33020-6711

Mailing address

2303 Hollywood Blvd
Suite 14
Hollywood, FL 33020-6711
Phone (954) 367-5671

National Provider Directory

National Provider Directory

Locations

2303 Hollywood Blvd
Ste 14
Hollywood, FL 33020
Phone (954) 367-5671

Practitioners & affiliated clinicians

Practitioners 1

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": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1902143530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 HOLLYWOOD BLVD",
            "address_2": "SUITE 14",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206711",
            "telephone_number": "954-367-5671",
            "fax_number": "954-653-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HOLLYWOOD BLVD",
            "address_2": "SUITE 14",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206711",
            "telephone_number": "954-367-5671",
            "fax_number": "954-653-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "GANGI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-367-5671"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN3884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2013; 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.