CENTER FOR COMPLETE DENTISTRY OF PEMBROKE PINES (NPI# 1497179725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497179725 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COMPLETE DENTISTRY OF PEMBROKE PINES |
| Practice Address |
700 N Hiatus Rd Suite 102 Pembroke Pines FL 33026-5206 |
| Practice Telephone | 9543921635 |
| Practice Fax Number | 9543921637 |
| Mailing Telephone | 9543921635 |
| Mailing Fax Number | 9543921637 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | ARUN K GARG (DENTIST) |
| Authorized Official Telephone | 9543921635 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | DN11076 | FL | Managed Care Organizations |
| Street Address |
700 N HIATUS RD SUITE 102 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879618 | David P Morris | Internal Medicine | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026 | 2005-05-23 |
| 1841662541 | Jennifer Garcia | Nurse Practitioner | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5206 | 2015-10-21 |
| 1851773220 | Ali Y Yazback | Dentist | 700 N Hiatus Rd, Suite 102, Pembroke Pines, FL 33026-5206 | 2015-06-22 |
| 1265834063 | Steven Ma | Neuromusculoskeletal Medicine & OMM | 700 N Hiatus Rd, Suite 209, Pembroke Pines, FL 33026-5206 | 2014-09-23 |
| 1972919132 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2014-07-09 |
| 1255775649 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2013-04-29 |
| 1700130234 | Wilma Joy Williams-blake | Nurse Practitioner | 700 N Hiatus Rd, Pembroke Pines, FL 33026-5206 | 2012-11-06 |
| 1235403312 | Shana-kay Mignott | Physician Assistant | 700 N Hiatus Rd, Pembroke Pines, FL 33026-5206 | 2012-03-06 |
| 1881966786 | Ruchi Kumar-willig | Internal Medicine | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5206 | 2012-02-08 |
| 1568756526 | Florida Institute for Cardiovascular Care Pa | Non-Pharmacy Dispensing Site | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5206 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710392451 | The Health Direct Group, LLC | Preferred Provider Organization | 10350 Pines Blvd Ste D102, Pembroke Pines, FL 33026-6051 | 2014-06-20 |
| 1861741894 | Calm Medical Inc. | Preferred Provider Organization | 15757 Pines Blvd # 224, Pembroke Pines, FL 33027-1207 | 2012-09-06 |
| 1538359278 | Careiq | Preferred Provider Organization | 2020 Nw 150th Ave, Suite 304, Pembroke Pines, FL 33028-2805 | 2007-07-30 |
| 1760850598 | Therapies4kids | Preferred Provider Organization | 10261 Pines Blvd, Pembroke Pines, FL 33026-6008 | 2015-09-10 |
| 1497060529 | Elsy M. Coronado, Md, Pa | Preferred Provider Organization | 9692 Pines Blvd, Pembroke Pines, FL 33024-6246 | 2010-08-12 |
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| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on CENTER FOR COMPLETE DENTISTRY OF PEMBROKE PINES.
| 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.