Dr. Norman Bluth, Dr. Barry Bluth, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

FL12656 Issued in FL

Legal business name

DR. NORMAN BLUTH, DR. BARRY BLUTH, PA

Doing business as

Bluth Family Dental

Practice address

4175 SW 64TH Ave
Suite 103
Davie, FL 33314-3459

Phone

(954) 792-3800

Fax

(954) 792-3377

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Barry Adam Bluth, DMDNPI 1114907839

Title

Dentist

Phone

(954) 792-3800

Specialties & licenses 4

Addresses

Other names 1

• Bluth Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Adam Bluth, DMD

  • Dentist
  • Davie, FL
  • NPI 1114907839
  NPD (past) Authorized official

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1932346574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 SW 64TH AVE",
            "address_2": "SUITE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143459",
            "telephone_number": "954-792-3800",
            "fax_number": "954-792-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 SW 64TH AVE",
            "address_2": "SUITE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143459",
            "telephone_number": "954-792-3800",
            "fax_number": "954-792-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NORMAN BLUTH, DR. BARRY BLUTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "BLUTH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-792-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL15109",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL2848",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "FL12656",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "FL16973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluth Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Davie, FL
• Providers in Davie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.