Organization Active NPI

Palacios Orthodontics Inc

Doing business as Gentle braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aventura, FL
National Provider Identifier
1013509538
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PALACIOS ORTHODONTICS INC
Doing business as
Gentle braces
Practice address
19018 NE 29TH Ave
Aventura, FL 33180-2823
Phone
(305) 932-4222
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. Piero G Palacios, DDSNPI 1881721785
Title
President
Phone
(860) 223-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

19018 NE 29TH Ave
Aventura, FL 33180-2823

Mailing address

19018 NE 29TH Ave
Aventura, FL 33180-2823
Phone (305) 932-4222

Other identifiers 1

IdentifierTypeStateIssuer
P422667753791OtherFLORTHODONTICS ONLY TAKES PRIVATE INSURANCE

Other names 1

  • Gentle braces Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pierogpalacios@icloud.com Direct

National Provider Directory

National Provider Directory

Locations

19018 NE 29th Ave
Miami, FL 33180
Phone (305) 932-4222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1013509538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19018 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802823",
            "telephone_number": "305-932-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19018 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802823",
            "telephone_number": "305-932-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACIOS ORTHODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "PIERO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-223-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHODONTICS ONLY TAKES PRIVATE INSURANCE",
            "identifier": "P422667753791",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pierogpalacios@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19018 NE 29th Ave",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331802823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gentle braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.