Individual provider Active NPI

Cecilia De Las Mercedes Salazar, D.M.D

  • General Practice Dentistry
  • North Miami Beach, FL
National Provider Identifier
1003193285
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19356 Issued in FL
Practice address
850 Ives Dairy Rd Ste T63
North Miami Beach, FL 33179-2499
Phone
(305) 654-9399
Fax
(305) 654-9359
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19356 FL Primary

Addresses

Primary practice location

850 Ives Dairy Rd Ste T63
North Miami Beach, FL 33179-2499

Mailing address

2201 SE 18TH St Apt 210
Fort Lauderdale, FL 33316-3649
Phone (561) 201-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN19356FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cecilia Salazar, DMD, PA General Practice Past Accepting new patients

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO D-SNP
  • Freedom Health HMO Network
  • FL HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1003193285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SE 18TH ST APT 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163649",
            "telephone_number": "561-201-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD STE T63",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792499",
            "telephone_number": "305-654-9399",
            "fax_number": "305-654-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "CECILIA",
        "middle_name": "DE LAS MERCEDES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.