NPIMap

Organization Active NPI

Gorbatov and Associates

  • General Practice Dentistry
  • Hallandale Beach, FL
National Provider Identifier
1982907986
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15160 Issued in FL
Legal business name
GORBATOV AND ASSOCIATES
Practice address
2100 E Hallandale Beach Blvd
Suite 309
Hallandale Beach, FL 33009-3765
Phone
(954) 457-8308
Fax
(954) 457-8309
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Dmitry Gorbatov, PHS,DDSNPI 1316025067
Title
Owner
Phone
(954) 457-8308

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN15160 FL Primary

Addresses

Primary practice location

2100 E Hallandale Beach Blvd
Suite 309
Hallandale Beach, FL 33009-3765

Mailing address

2100 E Hallandale Beach Blvd
Suite 309
Hallandale Beach, FL 33009-3765
Phone (954) 457-8308

National Provider Directory

National Provider Directory
Tax ID family
Abc Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 E Hallandale Beach Blvd
Ste 309
Hallandale Beach, FL 33009
Phone (954) 457-8308

Practitioners & affiliated clinicians

Practitioners 2

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1982907986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 309",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-457-8308",
            "fax_number": "954-457-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 309",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-457-8308",
            "fax_number": "954-457-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORBATOV AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "GORBATOV",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-457-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHS,DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.