Organization Active NPI

Caring Dental Services

  • Dentist
  • Miami, FL
National Provider Identifier
1013418318
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11339 Issued in FL
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
072586200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.