PHANORD & ASSOCIATES PA (NPI# 1255362877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255362877 |
| Entity Type | Organization |
| Organization Name | PHANORD & ASSOCIATES PA |
| Practice Address |
1245 Nw 119 St Miami FL 33167 |
| Practice Telephone | 3056857863 |
| Practice Fax Number | 3056877603 |
| Mailing Telephone | 3056857863 |
| Mailing Fax Number | 3056877603 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROGER J PHANOD (OWNER AND DOCTOR) |
| Authorized Official Telephone | 3056857863 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN0014809 | FL | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN0011236 | FL | Dental Providers |
| X | 1223E0200X |
Dentist Specialization: Endodontics |
DN0011339 | FL | Dental Providers |
| Street Address |
1245 NW 119 ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183711 | Yusleydi Almaguer | Behavioral Analyst | 1205 Nw 116 Terr, Miami, FL 33167 | 2017-06-09 |
| 1952833477 | Lakeashi Lewis | Custodial Care Facility | 11910 N.w 19 Ave. #a, Miami, FL. 33167 | 2017-04-03 |
| 1326499617 | Roilan Hernandez | Behavior Technician | 12525 Nw 18th Ct, Miami, FL 33167 | 2016-06-28 |
| 1083064497 | Sierra Watkins | Behavioral Analyst | 15710 Nw 37th Place, Miami, FL 33167 | 2016-06-16 |
| 1790022093 | Adryanas Tech Codding One Corp | Contractor | 1363 Nw118th St, Miami, FL 33167 | 2013-01-08 |
| 1366574220 | Jose M Jules | Respiratory Therapist, Certified | 14611 Nw 13rd, Miami, FL 33167 | 2007-03-09 |
| 1881614212 | Synergy Pharmacy & Medical Supplies | Durable Medical Equipment & Medical Supplies | 1543 Nw 119 St, Miami, FL 33167 | 2006-07-20 |
| 1194761213 | Mary Cecilia Crosby | Dentist | 1245 Nw 119th Street, North Miami, FL 33167 | 2006-06-20 |
| 1669998605 | Whitney Victoria Drayton | Pharmacist | 6200 Nw 7th Ave, Miami, FL 33167 | 2017-08-22 |
| 1609974039 | Margot Denise Jobson Poux | Dentist | 1245 Nw 119th Street, N Miami, FL 33167 | 2006-09-20 |
| Find all providers in zip 33167 | ||||
| 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 |
|---|---|---|---|---|
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1538673975 | Pedo Ortho Dental Specialists LLC | Dentist | 8950 Sw 74th Ct Ste 124, Miami, FL 33156-3171 | 2017-11-21 |
| 1831541424 | Garcia Saint-hilaire Pa | Dentist | 2260 Sw 87th Ave, Miami, FL 33165-2090 | 2016-07-07 |
| 1053701771 | Ashley Lynn Rosenbaum | Dentist | 41 Se 5th St Apt 2409, Miami, FL 33131-2551 | 2015-02-02 |
| 1689063133 | Yohayra Elizabeth Chardon | Dentist | 15831 Sw 139th Pl, Miami, FL 33177-1096 | 2015-01-21 |
| 1851707079 | Danielle Fernandez | Dentist | 6601 Sw 80th St Ste 212, Miami, FL 33143-4661 | 2014-07-08 |
| 1649598087 | Tatiana Toquica | Dentist | 8319 W Flagler St, Miami, FL 33144-2029 | 2010-05-10 |
| 1356570303 | Celia Marina Roman | Dentist | 2950 Sw 8th St, Miami, FL 33135-2827 | 2009-07-13 |
| 1366677858 | Jorge E Landa | Dentist | 11790 Sw 89th St, Miami, FL 33186-2165 | 2009-05-27 |
| 1235374471 | Tuong-vi Le | Dentist | 185 Sw 7th St, Apt 3004, Miami, FL 33130-2990 | 2008-12-02 |
| Find all providers in MIAMI | ||||
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| 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.