Active NPI
Alexandra L Botero, DDS
- Dentist
- Doral, FL
National Provider Identifier
1053666065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D20575
- Practice address
- 7902 NW 36TH St Ste 209
Doral, FL 33166-6663 - Phone
- (305) 402-4452
- NPI assigned
- Jul 16, 2012
- Sex
- Female
- 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 | D20575 | FL | Primary |
Addresses
Primary practice location
7902 NW 36TH St Ste 209
Doral, FL 33166-6663
Mailing address
13936 SW 102ND CT
Miami, FL 33176-6611
Phone (305) 283-7772
Other practice location 1
8740 N Kendall Dr
Miami, FL 33176-2212
Phone (305) 270-8029
Other practice location 2
13550 SW 88th St
Miami, FL 33186-1654
Phone (305) 270-0744
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 |
|---|---|---|---|
| D20575 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandra Botero DDS, PA | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Miami, FL
- NPI 1124986096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1053666065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13936 SW 102ND CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331766611",
"telephone_number": "305-283-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7902 NW 36TH ST STE 209",
"city": "DORAL",
"state": "FL",
"postal_code": "331666663",
"telephone_number": "305-402-4452"
}
],
"practiceLocations": [
{
"address_1": "8740 N Kendall Dr",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762212",
"country_code": "US",
"telephone_number": "305-270-8029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13550 SW 88th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331861654",
"country_code": "US",
"telephone_number": "305-270-0744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTERO",
"first_name": "ALEXANDRA",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "D20575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.