Christian Community Care Center
Dentist, General Practice in Stuart, FL. Organization (NPI-2).
NPI number1295020170
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1295020170
- Entity type
- Organization (NPI-2)
- Legal business name
- Christian Community Care Center
- Organization subpart
- No
- Enumeration date
- Jun 18, 2011
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | FL | Yes |
| 1223G0001X | Dentist, General Practice | – | – |
Practice location
6092 Se Federal HwyStuart, FL 34997-8101
Phone 772-288-2345 · Fax 844-269-6899
Mailing address
6092 Se Federal HwyStuart, FL 34997-8101
Phone 177-228-8234 · Fax 844-269-6899
Authorized official
Crystal Aguilar
Director
7722882345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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