Individual provider Active NPI

Nichol Marie Cid, DDS

  • Dentist
  • Miami, FL
National Provider Identifier
1003543745
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27219 Issued in FL
Practice address
9560 SW 107TH Ave Ste 206
Miami, FL 33176-2790
Phone
(305) 274-2110
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27219 FL Primary

Addresses

Primary practice location

9560 SW 107TH Ave Ste 206
Miami, FL 33176-2790

Mailing address

12682 SW 78TH St
Miami, FL 33183-3514
Phone (305) 781-0179

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
27219FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Judy Mejido DMD PA Dentist PastSince Aug 7, 2022 Accepting new patients
Natalia Ferrer-Leon, D.M.D., P.a. PastSince Aug 7, 2022 Accepting new patients

Organizations & group practices 2

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1003543745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12682 SW 78TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833514",
            "telephone_number": "305-781-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 SW 107TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762790",
            "telephone_number": "305-274-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CID",
        "first_name": "NICHOL",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.