Luis Eduardo Cardenas, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN13740 Issued in FL

Practice address

1 SW 129TH Ave
Suite 400
Pembroke Pines, FL 33027-1761

Phone

(954) 432-2080

Fax

(954) 432-5560

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Baylor College of Dentistry/Texas a&M University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oral Facial Reconstruction and Implant Center of S. Florida Inc.Group PAC ID 4880645787, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Oral Facial Reconstruction & Implant Center of S. Florida Inc.

  • Specialist
  • Plantation, FL
  • NPI 1972703619
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1912965930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674649",
            "telephone_number": "954-227-4892",
            "fax_number": "954-227-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "address_2": "SUITE 400",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "954-432-2080",
            "fax_number": "954-432-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN13740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "59-2043705",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carcache, APRN
• Elisdania Cardenas Rodriguez
• Melissa Ann Cardenas-Morales, M.D.
• Andrea Patricia Cardenas, NP
• Blanca Katherine Cardenas
• Manuela Cardenas, DMD
• Cardiology & Neurology Associates Inc
• Cardiovascular Preventative Care, LLC
• Sandra Cardona
• Yoel Jose Cardoso Molina

• Oral and Maxillofacial Surgery (Dentist) in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.