NPIMap

Organization Active NPI

Aventura Endodontic Group, LLC

  • Endodontics
  • Aventura, FL
National Provider Identifier
1962658583
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4125 Issued in FL
Legal business name
AVENTURA ENDODONTIC GROUP, LLC
Practice address
19495 Biscayne Blvd
Suite #404
Aventura, FL 33180-2318
Phone
(305) 933-0001
Fax
(305) 933-2122
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Arthur J. Lane, DDSNPI 1497977433
Title
President
Phone
(305) 933-0001

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 4125 FL Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X DN16345 FL

Addresses

Primary practice location

19495 Biscayne Blvd
Suite #404
Aventura, FL 33180-2318

Mailing address

19495 Biscayne Blvd.
Suite #404
Aventura, FL 33180
Phone (305) 933-0001

National Provider Directory

National Provider Directory

Locations

19495 Biscayne Blvd
Ste 404
Aventura, FL 33180
Phone (305) 933-0001

Practitioners & affiliated clinicians

Practitioners 2

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1962658583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19495 BISCAYNE BLVD.",
            "address_2": "SUITE #404",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-0001",
            "fax_number": "305-933-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19495 BISCAYNE BLVD",
            "address_2": "SUITE #404",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802318",
            "telephone_number": "305-933-0001",
            "fax_number": "305-933-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA ENDODONTIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-933-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "4125",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.