Individual provider Active NPI

Isaac Garazi, DMD

  • Periodontics
  • Miami, FL
National Provider Identifier
1023197084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
8878 Issued in FL
Practice address
20484 W Dixie Hwy
Miami, FL 33180-1128
Phone
(305) 931-0607
Fax
(305) 931-1201
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 8878 FL Primary

Addresses

Primary practice location

20484 W Dixie Hwy
Miami, FL 33180-1128

Mailing address

20484 W Dixie Hwy
Miami, FL 33180-1128
Phone (305) 931-0607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114001349 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567741697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8878FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Garazi, DMD, PA Periodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023197084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20484 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801128",
            "telephone_number": "305-931-0607",
            "fax_number": "305-931-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20484 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801128",
            "telephone_number": "305-931-0607",
            "fax_number": "305-931-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAZI",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "8878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.