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
- Last updated
- Aug 19, 2019
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.