Organization Active NPI

Dr. Joel E. Vaccarezza DDS PA

  • General Practice Dentistry
  • Miami Shores, FL
National Provider Identifier
1023296753
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. JOEL E. VACCAREZZA DDS PA
Practice address
9999 NE 2ND Ave Ste 308
Miami Shores, FL 33138-2346
Phone
(305) 757-6991
Fax
(305) 757-0042
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Joel E Vaccarezza, DDSNPI 1205224011
Title
Owner
Phone
(305) 757-6991

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9999 NE 2ND Ave Ste 308
Miami Shores, FL 33138-2346

Mailing address

9999 NE 2ND Ave Ste 308
Miami Shores, FL 33138-2346
Phone (305) 757-6991

National Provider Directory

National Provider Directory

Locations

9999 NE 2nd Ave
Ste 308
Miami Shores, FL 33138
Phone (305) 757-6991

Practitioners & affiliated clinicians

Practitioners 1

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": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1023296753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE STE 308",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382346",
            "telephone_number": "305-757-6991",
            "fax_number": "305-757-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE STE 308",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382346",
            "telephone_number": "305-757-6991",
            "fax_number": "305-757-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOEL E. VACCAREZZA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "VACCAREZZA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-757-6991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.