NPIMap

Organization Active NPI

Magic Touch Dentistry, P.a.

  • General Practice Dentistry
  • Hollywood, FL
National Provider Identifier
1962003269
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAGIC TOUCH DENTISTRY, P.A.
Practice address
2 Oakwood Blvd Ste 150a
Hollywood, FL 33020-1960
Phone
(954) 367-7088
NPI assigned
Nov 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Ilya Freyberg, DDSNPI 1841345485
Title
President
Phone
(917) 519-3772

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2 Oakwood Blvd Ste 150a
Hollywood, FL 33020-1960

Mailing address

2 Oakwood Blvd Ste 150a
Hollywood, FL 33020-1960

National Provider Directory

National Provider Directory

Locations

2 Oakwood Blvd
Ste 150A
Hollywood, FL 33020
Phone (954) 367-7088

Practitioners & affiliated clinicians

Practitioners 3

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": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1962003269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD BLVD STE 150A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD BLVD STE 150A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201960",
            "telephone_number": "954-367-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC TOUCH DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "FREYBERG",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-519-3772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

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