Organization Active NPI

Fernando Munoz DDS PA

  • Dentist
  • Palm Springs, FL
National Provider Identifier
1972965119
Registry record updated Mar 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20523 Issued in FL
Legal business name
FERNANDO MUNOZ DDS PA
Practice address
3472 Forest Hill Blvd # 3a
Palm Springs, FL 33406-5864
Phone
(561) 558-3757
NPI assigned
Mar 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2016

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

Authorized official

Name
Dr. Numa Fernando Munoz, DDS
Title
President/Owner
Phone
(561) 558-3757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN20523 FL Primary

Addresses

Primary practice location

3472 Forest Hill Blvd # 3a
Palm Springs, FL 33406-5864

Mailing address

3472 Forest Hill Blvd # 3a
Palm Springs, FL 33406-5864
Phone (561) 558-3757

Other names 1

  • Florida Kids Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3472 Forest Hill Blvd
Ste 3A
Palm Springs, FL 33406
Phone (561) 558-3757

NPI Registry JSON

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459036800000",
    "number": "1972965119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD # 3A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-558-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD # 3A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-558-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO MUNOZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-27",
        "last_updated": "2016-03-27",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "NUMA FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-558-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.