NPIMap

Organization Active NPI

Oasis Dental Associates PA

  • Dentist
  • Penbroke Pines, FL
National Provider Identifier
1932201142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OASIS DENTAL ASSOCIATES PA
Practice address
10796 Pines Blvd
Suite 203
Penbroke Pines, FL 33026
Phone
(954) 499-1599
Fax
(954) 499-5799
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Andrew GormanNPI 1144304726
Title
Co Owner Dentist
Phone
(954) 499-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10796 Pines Blvd
Suite 203
Penbroke Pines, FL 33026

Mailing address

10796 Pines Blvd
Suite 203
Penbroke Pines, FL 33026
Phone (954) 499-1599

National Provider Directory

National Provider Directory

Locations

10796 Pines Blvd
Ste 203
Pembroke Pines, FL 33026
Phone (954) 499-1599

Practitioners & affiliated clinicians

Practitioners 5

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932201142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD",
            "address_2": "SUITE 203",
            "city": "PENBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-499-1599",
            "fax_number": "954-499-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD",
            "address_2": "SUITE 203",
            "city": "PENBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-499-1599",
            "fax_number": "954-499-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CO OWNER DENTIST",
        "authorized_official_telephone_number": "954-499-1599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penbroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.