Organization Active NPI

Beachwood Dental, PLLC

  • General Practice Dentistry
  • Zephyrhills, FL
National Provider Identifier
1982471298
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEACHWOOD DENTAL, PLLC
Practice address
32817 Eiland Blvd
Zephyrhills, FL 33545-5227
Phone
(804) 304-0391
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Farshad Taghizadeh, DMDNPI 1770101792
Title
President
Phone
(804) 304-0391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

32817 Eiland Blvd
Zephyrhills, FL 33545-5227

Mailing address

19070 Lutterworth CT
Land O Lakes, FL 34638-0017
Phone (804) 304-0391

National Provider Directory

National Provider Directory

Locations

32817 Eiland Blvd
Zephyrhills, FL 33545
Phone (804) 304-0391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1982471298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 LUTTERWORTH CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346380017",
            "telephone_number": "804-304-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32817 EILAND BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335455227",
            "telephone_number": "804-304-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHWOOD DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "TAGHIZADEH",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-304-0391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.