Active NPI
West Dade Community Health Centers, Inc.
- Dentist
- Miami, FL
National Provider Identifier
1013303767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19336
- Legal business name
- WEST DADE COMMUNITY HEALTH CENTERS, INC.
- Practice address
- 14740 SW 26 Street
Suite 107
Miami, FL 33185 - Phone
- (305) 220-4918
- NPI assigned
- Apr 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ricardo Mualin
- Title
- Ceo
- Phone
- (305) 220-4918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN19336 | FL | Primary |
Addresses
Primary practice location
14740 SW 26 Street
Suite 107
Miami, FL 33185
Mailing address
14740 SW 26 Street
Suite 107
Miami, FL 33185
Phone (305) 220-4918
National Provider Directory
National Provider DirectoryLocations
14740 SW 26th St
Ste 107
Miami, FL 33185
Phone (305) 388-1118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428537600000",
"number": "1013303767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14740 SW 26 STREET",
"address_2": "SUITE 107",
"city": "MIAMI",
"state": "FL",
"postal_code": "33185",
"telephone_number": "305-220-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14740 SW 26 STREET",
"address_2": "SUITE 107",
"city": "MIAMI",
"state": "FL",
"postal_code": "33185",
"telephone_number": "305-220-4918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST DADE COMMUNITY HEALTH CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A",
"authorized_official_last_name": "MUALIN",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-220-4918",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN19336",
"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 Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.