NPIMap

Organization Active NPI

Gentle Teeth of Coralsprings and Parkland

  • Dental Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1982180725
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17317 Issued in FL
Legal business name
GENTLE TEETH OF CORALSPRINGS AND PARKLAND
Practice address
5401 N University Dr Ste 101
Coral Springs, FL 33067-4636
Phone
(954) 344-3932
Fax
(844) 260-5713
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Sydnee Samuel
Title
Office Manager
Phone
(954) 344-3932

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X DN17317 FL Primary

Addresses

Primary practice location

5401 N University Dr Ste 101
Coral Springs, FL 33067-4636

Mailing address

5401 N University Dr Ste 101
Coral Springs, FL 33067-4636
Phone (954) 344-3932

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidFL

Other names 1

  • Gentle Teeth Of CoralSprings And Parkland Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL genteethcs@gmail.com

National Provider Directory

National Provider Directory

Locations

5401 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (954) 344-3932

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1982180725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674636",
            "telephone_number": "954-344-3932",
            "fax_number": "844-260-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674636",
            "telephone_number": "954-344-3932",
            "fax_number": "844-260-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TEETH OF CORALSPRINGS AND PARKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SYDNEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-344-3932"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "genteethcs@gmail.com",
            "affiliation": "N",
            "address_1": "5401 N University Dr Ste 101",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330674636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gentle Teeth Of CoralSprings And Parkland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gentle Teeth Of CoralSprings And Parkland",
            "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 May 24, 2022; 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.