Individual provider Active NPI

Jeffrey Roland Rashbaum, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hollywood, FL
National Provider Identifier
1902957731
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5292 Issued in FL
Practice address
3113 Stirling Rd
Suite 101
Hollywood, FL 33312
Phone
(954) 981-5333
Fax
(954) 985-3883
NPI assigned
Jan 16, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5292 FL Primary

Addresses

Primary practice location

3113 Stirling Rd
Suite 101
Hollywood, FL 33312

Mailing address

3113 Stirling Rd
Suite 101
Hollywood, FL 33312
Phone (954) 981-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5292FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Orthodontics, LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1902957731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD",
            "address_2": "SUITE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-981-5333",
            "fax_number": "954-985-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD",
            "address_2": "SUITE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-981-5333",
            "fax_number": "954-985-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHBAUM",
        "first_name": "JEFFREY",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "5292",
            "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 Aug 4, 2008; 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.