Javier Estrada, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

650963082 Issued in FL

Practice address

646 W Palm Dr Ste 200
Florida City, FL 33034-3210

Phone

(305) 242-1200

Fax

(305) 242-8782

NPI assigned

Feb 8, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• FL HMO D-SNP
• FL HMO C-SNP
• HealthSun Health Plans Network

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003956822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W PALM DR STE 200",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343210",
            "telephone_number": "305-242-1200",
            "fax_number": "305-242-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W PALM DR STE 200",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343210",
            "telephone_number": "305-242-1200",
            "fax_number": "305-242-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "650963082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "0014847",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "0014741",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTRISTRY",
            "identifier": "0014560",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney L Eichler, SLP
• Lilian X Enamorado Rivera de Bacas
• Delmy Rubid Equihua-Galdamez
• Marvin J Espinoza
• Rachel Estevez
• James Alan Fabian, O.D.
• Lisandra Fernandez Buergo
• Karen Ivette Fernandez de Castro, OTR/L
• Frank David Fernandez Pina
• Suylen Fernandez

• General Practice Dentistry in Florida City, FL
• Providers in Florida City, FL by specialty
• General Practice Dentistry 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.