Active NPI
Caring Dental Services
- Dentist
- Miami, FL
National Provider Identifier
1013418318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11339
- Legal business name
- CARING DENTAL SERVICES
- Practice address
- 127 NW 12TH Ave
Miami, FL 33128-1008 - Phone
- (305) 325-1771
- NPI assigned
- Feb 22, 2018
- 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
- Dr. Roger Phanord
- Title
- Owner
- Phone
- (305) 685-7863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11339 | FL | Primary |
Addresses
Primary practice location
127 NW 12TH Ave
Miami, FL 33128-1008
Mailing address
4789 SW 148TH Ave Ste 205
Davie, FL 33330-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072586200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Miami, FL
- NPI 1154921757
-
- Pediatric Dentistry
- N Miami, FL
- NPI 1609974039
-
- Public Health Dentistry
- Miami, FL
- NPI 1134259518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1013418318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4789 SW 148TH AVE STE 205",
"city": "DAVIE",
"state": "FL",
"postal_code": "333302121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331281008",
"telephone_number": "305-325-1771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING DENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-22",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "PHANORD",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-685-7863",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "11339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "072586200",
"state": "FL"
}
],
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.