Organization Active NPI

South Dental of Kendall, Inc

  • Dentist
  • Miami, FL
National Provider Identifier
1053572016
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13563 Issued in FL
Legal business name
SOUTH DENTAL OF KENDALL, INC
Practice address
7532 SW 117TH Ave
Miami, FL 33183-3808
Phone
(305) 273-1113
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Janhn Oppenheimer, DDS
Title
Owner
Phone
(305) 388-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 13563 FL Primary

Addresses

Primary practice location

7532 SW 117TH Ave
Miami, FL 33183-3808

Mailing address

7532 SW 117TH Ave
Miami, FL 33183-3808
Phone (305) 273-1113

National Provider Directory

National Provider Directory

Locations

7532 SW 117th Ave
Miami, FL 33183
Phone (305) 273-1113

Practitioners & affiliated clinicians

Practitioners 2

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1053572016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833808",
            "telephone_number": "305-273-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833808",
            "telephone_number": "305-273-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENTAL OF KENDALL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JANHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-7599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13563",
            "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 Jun 23, 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.