Fort Lauderdale DMS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN16358 Issued in FL

Legal business name

FORT LAUDERDALE DMS

Practice address

2000 S. Andrews Avenue
Fort Lauderdale, FL 33316

Phone

(954) 356-9956

Fax

(954) 356-8120

NPI assigned

Oct 13, 2008

Last updated

Apr 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roland Anthony Hernandez, DDSNPI 1427259431

Title

President

Phone

(954) 356-9956

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Roland Anthony Hernandez, DDS.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Lauderdale, FL
  • NPI 1427259431
  Medicare reassignment NPD Authorized official
• Neal Anthony Zabiegalski, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Lauderdale, FL
  • NPI 1649306622
  NPD

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1922250703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S. ANDREWS AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-356-9956",
            "fax_number": "954-356-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S. ANDREWS AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-356-9956",
            "fax_number": "954-356-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE DMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-356-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070434200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lionel Forstadt, PSYD, LPC, CASAC
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• Fort Lauderdale Chiropractic Center
• Fort Lauderdale Counseling Services, Inc
• Fort Lauderdale Dermatology, PLLC
• Fort Lauderdale Eye Care and Eyewear, LLC
• Fort Lauderdale Galleria Dental Implant and Orthodontic Center
• Fort Lauderdale Nephrology and Hypertension
• Fort Lauderdale Open Diagnostic Center LLC
• Fort Lauderdale Orthopaedics PL

• Oral and Maxillofacial Surgery (Dentist) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.