JACARANDA SMILES EAST (NPI# 1043677925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043677925 |
| Entity Type | Organization |
| Organization Name | JACARANDA SMILES EAST |
| Practice Address |
10051 Pines Blvd Suite C Pembroke Pines FL 33024-6186 |
| Practice Telephone | 9542512717 |
| Practice Fax Number | 9546134005 |
| Mailing Telephone | 9542512717 |
| Mailing Fax Number | 9546134005 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | DR. RENE LUIS LANDA (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 9542512717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003557500 | 05 |
| Street Address |
10051 PINES BLVD SUITE C |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588746846 | Mark H Zahler | Dentist | 10051 Pines Blvd, #d, Pembroke Pines, FL 33024-6186 | 2006-10-19 |
| 1538516083 | Katiuska Mcintosh Falcon | Dentist | 10051 Pines Blvd, Pembroke Pines, FL 33024-6186 | 2016-05-14 |
| 1942683065 | Rachel Quevedo | Dentist | 10051 Pines Blvd, Unit C-d, Pembroke Pines, FL 33024-6186 | 2015-07-07 |
| 1942613450 | M.khakhria Dmd Ms Pa | Dentist | 10051 Pines Blvd, Suite C, Pembroke Pines, FL 33024-6186 | 2014-06-03 |
| 1073956447 | Anurupa Singh Roy | Dentist | 10051 Pines Blvd, Pembroke Pines, FL 33024-6186 | 2013-04-16 |
| 1356576607 | Village Chiropractic Health Center, Inc | Chiropractor | 10051 Pines Blvd, Suite B., Pembroke Pines, FL 33024-6186 | 2009-05-15 |
| 1265558985 | Birjis K Alam M D P A | Internal Medicine | 10051 Pines Blvd, Suite A, Pembroke Pines, FL 33024-6186 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891049557 | Richard L. Sherman, Dds. | Dentist | 2249 N. University Drive, Pembroke Pines, FL 33024 | 2012-11-02 |
| 1942424700 | Pembroke Pines Pediatric Dentistry | Dentist | 12311 Taft St Ste 3, Pembroke Pines, FL 33026-4384 | 2007-04-12 |
| 1306904164 | Richard Louis Sherman | Dentist | 2249 N University Dr, Pembroke Pines, FL 33024-3611 | 2006-12-05 |
| 1982772877 | Helena Urrea-feldsberg | Dentist | 160 N University Dr, Pembroke Pines, FL 33024-6714 | 2006-12-01 |
| 1770660508 | Sam Eisenstein | Dentist | 12333 Nw 18th Street, Suite 4, Pembroke Pines, FL 33026-4386 | 2006-11-01 |
| 1487759338 | Stephen H Wander | Dentist | 12301 Taft St, #300, Pembroke Pines, FL 33026-4387 | 2006-09-14 |
| 1508396847 | American Pediatric Dental Pines LLC | Dentist | 18501 Pines Blvd Ste 211, Pembroke Pines, FL 33029-1420 | 2017-06-19 |
| 1295269116 | Jacaranda Smiles West | Dentist | 18503 Pines Blvd, Suite 209, Pembroke Pines, FL 33029-1404 | 2017-04-18 |
| 1619362209 | Patricia Gonzalez Templeton D.d.s, LLC | Dentist | 2249 N University Dr, Pembroke Pines, FL 33024-3611 | 2015-04-01 |
| 1720374838 | William A. Pena Dmd, Pa | Dentist | 10021 Pines Blvd, Suite 100, Pembroke Pines, FL 33024-6191 | 2011-06-27 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on JACARANDA SMILES EAST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.