NPIMap

Organization Active NPI

Tadeu Szpoganicz, DMD, PA

Doing business as ClearWave Dental

  • Dentist
  • Coral Springs, FL
National Provider Identifier
1972959195
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20043 Issued in FL
Legal business name
TADEU SZPOGANICZ, DMD, PA
Doing business as
ClearWave Dental
Practice address
7305 W Sample Rd Ste 103
Coral Springs, FL 33065-2200
Phone
(954) 345-5200
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Tadeu Szpoganicz, DMDNPI 1871870659
Title
President
Phone
(954) 345-5200

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN20043 FL Primary

Addresses

Primary practice location

7305 W Sample Rd Ste 103
Coral Springs, FL 33065-2200

Mailing address

7305 W Sample Rd Ste 103
Coral Springs, FL 33065-2200
Phone (954) 345-5200

Other names 1

  • ClearWave Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7305 W Sample Rd
Ste 103
Coral Springs, FL 33065
Phone (954) 345-5200

Practitioners & affiliated clinicians

Practitioners 1

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": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1972959195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 W SAMPLE RD STE 103",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652200",
            "telephone_number": "954-345-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 W SAMPLE RD STE 103",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652200",
            "telephone_number": "954-345-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADEU SZPOGANICZ, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SZPOGANICZ",
        "authorized_official_first_name": "TADEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-345-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearWave Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.