Organization Active NPI

Smile Dental Group

  • Dental Clinic/Center
  • Hialeah, FL
National Provider Identifier
1033513759
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN18793 Issued in FL
Legal business name
SMILE DENTAL GROUP
Practice address
7618 NW 186TH St
Hialeah, FL 33015-2929
Phone
(305) 556-8800
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Eliseo Ruiz, DMD
Title
President
Phone
(786) 262-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN18793 FL Primary

Addresses

Primary practice location

7618 NW 186TH St
Hialeah, FL 33015-2929

Mailing address

7618 NW 186TH St
Hialeah, FL 33015-2929
Phone (305) 556-8800

National Provider Directory

National Provider Directory

Locations

7618 NW 186th St
Hialeah, FL 33015
Phone (305) 556-8800

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1033513759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152929",
            "telephone_number": "305-556-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152929",
            "telephone_number": "305-556-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ELISEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-262-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18793",
            "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 Oct 9, 2014; 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.