NPIMap

Organization Active NPI

Endodontric Specialty Group, LLC

  • Endodontics
  • Pembroke Pines, FL
National Provider Identifier
1982762613
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTRIC SPECIALTY GROUP, LLC
Practice address
3 SW 129TH Ave
Ste 205
Pembroke Pines, FL 33027
Phone
(954) 438-4282
Fax
(954) 442-6511
NPI assigned
Dec 5, 2006
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Edward Ronald Kirsh, DDSNPI 1912082868
Title
Owner
Phone
(954) 438-4282

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
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

3 SW 129TH Ave
Ste 205
Pembroke Pines, FL 33027

Mailing address

3 SW 129TH Ave
Ste 205
Pembroke Pines, FL 33027
Phone (954) 438-4282

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1982762613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SW 129TH AVE",
            "address_2": "STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-438-4282",
            "fax_number": "954-442-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SW 129TH AVE",
            "address_2": "STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-438-4282",
            "fax_number": "954-442-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTRIC SPECIALTY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KIRSH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-438-4282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 2, 2014; 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.