DR. WILLIAM ANTONIO PENA (NPI# 1922246388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922246388 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ANTONIO PENA |
| Credential | D.M.D. |
| Practice Address |
10021 Pines Blvd Suite 100 Pembroke Pines FL 33024-6191 |
| Practice Telephone | 9544171337 |
| Practice Fax Number | 9544171338 |
| Mailing Telephone | 9544171337 |
| Mailing Fax Number | 9544171338 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2012-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN 17608 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000641100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003098658 | William Pena | Chiropractor | 2640 Sw 25th St, Miami, FL 33133-2211 | 2007-12-05 |
| 1568427078 | William R Pena | Specialist | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2006-04-18 |
| 1811974082 | William Rodolfo Pena | Physical Therapist | 19 Hodskin St, Ste 1, Canton, NY 13617-1175 | 2005-12-28 |
| Street Address |
10021 PINES BLVD SUITE 100 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407805294 | Care Response Home Health Agency Corp. | Home Health | 10021 Pines Blvd, Suite #201, Pembroke Pines, FL 33024-6191 | 2006-05-09 |
| 1700148632 | Professional Dialysis Center, LLC | Clinic/Center | 10021 Pines Blvd, Suite 201, Pembroke Pines, FL 33024-6194 | 2012-06-15 |
| 1720374838 | William A. Pena Dmd, Pa | Dentist | 10021 Pines Blvd, Suite 100, Pembroke Pines, FL 33024-6191 | 2011-06-27 |
| 1992969828 | Hospitalist M D Associates LLC | Internal Medicine | 10021 Pines Blvd, Suite 210, Pembroke Pines, FL 33024-6191 | 2008-07-10 |
| 1700088200 | Rd Nutrition Associates | Dietitian, Registered | 10021 Pines Blvd, Suite 104, Pembroke Pines, FL 33024-6191 | 2007-06-05 |
| 1669592143 | Debra Anderson | Counselor | 10021 Pines Blvd, C109, Pembroke Pines, FL 33024-6191 | 2007-03-30 |
| 1083742050 | David Jules Schulster | Speech-Language Pathologist | 10021 Pines Blvd, Suite C 103, Pembroke Pines, FL 33024-6191 | 2007-03-01 |
| 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 |
| 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 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on DR. WILLIAM ANTONIO PENA.
| 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.