Eduardo R Northland, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN0012377 Issued in FL

Practice address

2825 S.W. 22 Street
Coral Gables, FL 33145-3203

Phone

(305) 448-1172

Fax

(305) 446-2724

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eduardo Northland,D.D.S.,P.a.

  • General Practice Dentistry
  • Coral Gables, FL
  • NPI 1093733024
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003834037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453203",
            "telephone_number": "305-448-1172",
            "fax_number": "305-446-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S.W. 22 STREET",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453203",
            "telephone_number": "305-448-1172",
            "fax_number": "305-446-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHLAND",
        "first_name": "EDUARDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nordstrom Inc & Subsidiaries
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• Marie Christophe Normil, M.D.
• Nadia Norona Vasallo
• North Caroline Medical Supply Inc
• Norway Home Health Inc.
• Nouveau Psychiatric Services LLC
• Nova Spine and Joint LLC
• Lazara Amneris Novas, MHC
• Victor Novas

• Dentist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.