NPIMap

Organization Active NPI

Progressive Dental Office Corp

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1023565033
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15053 Issued in FL
Legal business name
PROGRESSIVE DENTAL OFFICE CORP
Practice address
18600 NW 87TH Ave
Suite 125
Hialeah, FL 33015-3512
Phone
(305) 829-0100
Fax
(305) 829-7979
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Aydee Montero
Title
Administration
Phone
(305) 829-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN15053 FL Primary

Addresses

Primary practice location

18600 NW 87TH Ave
Suite 125
Hialeah, FL 33015-3512

Mailing address

18600 NW 87TH Ave
Suite 125
Hialeah, FL 33015-3512
Phone (305) 829-0100

National Provider Directory

National Provider Directory

Locations

18600 NW 87th Ave
Unit 125
Hialeah, FL 33015
Phone (305) 829-0100

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1023565033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 NW 87TH AVE",
            "address_2": "SUITE 125",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153512",
            "telephone_number": "305-829-0100",
            "fax_number": "305-829-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NW 87TH AVE",
            "address_2": "SUITE 125",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153512",
            "telephone_number": "305-829-0100",
            "fax_number": "305-829-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL OFFICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "AYDEE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "305-829-0100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.