Organization Active NPI

M Cowan & Associates DDS PA

Doing business as Dental Specialty Center of Pembroke Pines

  • Endodontics
  • Pembroke Pines, FL
National Provider Identifier
1972522944
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7432 Issued in FL
Legal business name
M COWAN & ASSOCIATES DDS PA
Doing business as
Dental Specialty Center of Pembroke Pines
Practice address
9050 Pines Blvd
Suite 420
Pembroke Pines, FL 33024-6455
Phone
(954) 432-7025
Fax
(954) 432-7613
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Marc Cowan, DDS
Title
President
Phone
(954) 432-7025

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 7432 FL Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 9476 FL
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 11402 FL
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 17373 FL
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 9783 FL
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 16125 FL

Addresses

Primary practice location

9050 Pines Blvd
Suite 420
Pembroke Pines, FL 33024-6455

Mailing address

9050 Pines Blvd
Suite 420
Pembroke Pines, FL 33024-6455
Phone (954) 432-7025

Other names 1

  • Dental Specialty Center of Pembroke Pines Doing business as

National Provider Directory

National Provider Directory

Locations

9050 Pines Blvd
Ste 420
Pembroke Pines, FL 33024
Phone (954) 432-7025

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1972522944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD",
            "address_2": "SUITE 420",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "954-432-7025",
            "fax_number": "954-432-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD",
            "address_2": "SUITE 420",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "954-432-7025",
            "fax_number": "954-432-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M COWAN & ASSOCIATES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-432-7025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "7432",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "9476",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "11402",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "17373",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "9783",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "16125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty Center of Pembroke Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.