BOULEVARD DENTAL ASSOCIATES, LLC
NPI 1154814143
Clinic/Center - Dental in Pembroke Pines, FL
NPI Status: Active since June 13, 2018
Contact Information
10794 PINES BLVD STE 204
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 538-9993
Fax: (954) 538-9994
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
About BOULEVARD DENTAL ASSOCIATES, LLC
This page provides the complete NPI Profile along with additional information for Boulevard Dental Associates, Llc, a provider established in Pembroke Pines, Florida operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1154814143 assigned on June 2018. The practitioner's primary taxonomy code is 261QD0000X with license number DN12326 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's former legal business name is Boulevard Dental Associates, Llc. The authorized official of this NPI record is Dr. Claudio Hernandez Dds (Doctor)
- NPI
- 1154814143
- Provider Legal Name
- BOULEVARD DENTAL ASSOCIATES, LLC
- Other Organization Name
- BOULEVARD DENTAL ASSOCIATES, LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 10794 PINES BLVD STE 204 PEMBROKE PINES, FL 33026
- Location Phone
- (954) 538-9993
- Location Fax
- (954) 538-9994
- Mailing Address
- 10794 PINES BLVD STE 204 PEMBROKE PINES, FL 33026
- Mailing Phone
- (954) 538-9993
- Mailing Fax
- (954) 538-9994
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2018
- Last Update Date
- 06-13-2018
- Code Navigator
Location Map
Secondary Locations
- 10794 Pines Blvd Ste 204
Pembroke Pines, FL 33026
(954) 538-9993 - 5370 Palm Ave Ste 4
Hialeah, FL 33012
(305) 821-9022
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- DN12326
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1427594258 | OTHER (01) | FL | 1427594258 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 8 | 1 | 4 | 1 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 16 | 1 | 8 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 1 + 6 + 1 + 8 + 1 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1154814143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154814143, enumerated in the NPI registry as an "organization" on June 13, 2018
The provider is located at 10794 Pines Blvd Ste 204 Pembroke Pines, Fl 33026 and the phone number is (954) 538-9993
This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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