JACARANDA SMILES WEST (NPI# 1295269116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295269116 |
| Entity Type | Organization |
| Organization Name | JACARANDA SMILES WEST |
| Practice Address |
18503 Pines Blvd Suite 209 Pembroke Pines FL 33029-1404 |
| Practice Telephone | 9544360502 |
| Practice Fax Number | 9544360503 |
| Mailing Telephone | 9544360502 |
| Mailing Fax Number | 9544360503 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | MILAN KHAKHRIA (OWNER) |
| Authorized Official Telephone | 9544360502 |
| Authorized Official Credential | DMD |
| 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 |
18503 PINES BLVD SUITE 209 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822261 | Alvaro M Murcia | Internal Medicine | 18503 Pines Blvd, Suite 303, Pembroke Pines, FL 33029 | 2005-06-23 |
| 1467062257 | Linda Pinchinat | Nurse Practitioner | 18503 Pines Blvd, Pembroke Pines, FL 33029-1404 | 2020-08-06 |
| 1225410178 | All State Community Mental Health Center, LLC | Clinic/Center | 18503 Pines Blvd, Suite 308, Pembroke Pines, FL 33029-1404 | 2015-06-26 |
| 1235534132 | Josephine Pineda | Massage Therapist | 18503 Pines Blvd, Suite 309, Pembroke Pines, FL 33029-1404 | 2014-11-04 |
| 1225455561 | Namaste Holistic Center, Corp | Clinic/Center | 18503 Pines Blvd, Suite 309, Pembroke Pines, FL 33029-1404 | 2014-03-25 |
| 1114344645 | Jennifer R Riordan Jaquith | Social Worker | 18503 Pines Blvd, Suite 214, Pembroke Pines, FL 33029-1404 | 2014-03-21 |
| 1871919688 | Lizette Mollinea | Counselor | 18503 Pines Blvd, Suite 214, Pembroke Pines, FL 33029 | 2014-03-17 |
| 1215359641 | Broward Home Health Care, Inc. | Home Health | 18503 Pines Blvd, Suite 308, Pembroke Pines, FL 33029-1404 | 2014-01-21 |
| 1942525860 | Comprehensive Psychiatric Care | Psychiatry & Neurology | 18503 Pines Blvd, Ste 214, Pembroke Pines, FL 33029-1404 | 2010-04-03 |
| 1518297993 | Evelyn Mora | Specialist | 18503 Pines Blvd, Suite 309, Pembroke Pines, FL 33029-1404 | 2010-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| 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 |
| 1043677925 | Jacaranda Smiles East | Dentist | 10051 Pines Blvd, Suite C, Pembroke Pines, FL 33024-6186 | 2016-01-22 |
| 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 | 33029 |
Please comment or provide details below to improve the information on JACARANDA SMILES WEST.
| 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.