Active NPI
Jorge Luis Crespo, DDS
- Dentist
- Miami, FL
National Provider Identifier
1033366455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0008455
- Practice address
- 1300 Coral Way
Suite 101
Miami, FL 33145 - Phone
- (305) 854-1991
- Fax
- (305) 859-8996
- NPI assigned
- Aug 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN0008455 | FL | Primary |
Addresses
Primary practice location
1300 Coral Way
Suite 101
Miami, FL 33145
Mailing address
1300 Coral Way
Suite 101
Miami, FL 33145
Phone (305) 854-1991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0008455 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1033366455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 CORAL WAY",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "33145",
"telephone_number": "305-854-1991",
"fax_number": "305-859-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CORAL WAY",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "33145",
"telephone_number": "305-854-1991",
"fax_number": "305-859-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "JORGE",
"middle_name": "LUIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0008455",
"primary": true
}
],
"identifiers": [],
"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 Aug 27, 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.