NPIMap

Organization Active NPI

Advanced Endodontic Specialists LLC

  • Endodontics
  • Lakeland, FL
National Provider Identifier
1942514807
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN16935 Issued in FL
Legal business name
ADVANCED ENDODONTIC SPECIALISTS LLC
Practice address
3003 S Florida Ave
#101
Lakeland, FL 33803-4050
Phone
(863) 687-8990
Fax
(863) 682-0871
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Haider AlzubaidiNPI 1528246501
Title
Owner
Phone
(734) 216-4413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN16935 FL Primary

Addresses

Primary practice location

3003 S Florida Ave
#101
Lakeland, FL 33803-4050

Mailing address

3003 S Florida Ave
#101
Lakeland, FL 33803-4050
Phone (863) 687-8990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1942514807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 S FLORIDA AVE",
            "address_2": "#101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034050",
            "telephone_number": "863-687-8990",
            "fax_number": "863-682-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S FLORIDA AVE",
            "address_2": "#101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034050",
            "telephone_number": "863-687-8990",
            "fax_number": "863-682-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDODONTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "ALZUBAIDI",
        "authorized_official_first_name": "HAIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-216-4413",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.