Organization Active NPI

Dentaquest of Florida, Inc.

  • Health Maintenance Organization
  • Coral Gables, FL
National Provider Identifier
1922077650
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
67016 Issued in FL
Legal business name
DENTAQUEST OF FLORIDA, INC.
Practice address
2100 Ponce de Leon Blvd
Suite 950
Coral Gables, FL 33134-5215
Phone
(305) 443-3111
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Mr. Steven J. Pollock
Title
Chief Operating Officer
Phone
(800) 417-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 67016 FL Primary

Addresses

Primary practice location

2100 Ponce de Leon Blvd
Suite 950
Coral Gables, FL 33134-5215

Mailing address

2100 Ponce de Leon Blvd.
Suite 950
Coral Gables, FL 33134
Phone (800) 417-7140

National Provider Directory

National Provider Directory
Tax ID family
Dentaquest of Florida Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 Ponce de Leon Blvd
Ste 950
Coral Gables, FL 33134
Phone (305) 443-3111

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1922077650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PONCE DE LEON BLVD.",
            "address_2": "SUITE 950",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "800-417-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PONCE DE LEON BLVD",
            "address_2": "SUITE 950",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345215",
            "telephone_number": "305-443-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAQUEST OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "800-417-7140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "67016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.