Organization Active NPI

Pedro Quesada, DDS,PA

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1073028684
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21528 Issued in FL
Legal business name
PEDRO QUESADA, DDS,PA
Practice address
742 W 49TH St
Hialeah, FL 33012-3609
Phone
(786) 534-9216
Fax
(786) 534-9221
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Dr. Pedro Quesada, DDS
Title
President
Phone
(786) 534-9216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN21528 FL Primary

Addresses

Primary practice location

742 W 49TH St
Hialeah, FL 33012-3609

Mailing address

742 W 49TH St
Hialeah, FL 33012-3609
Phone (786) 534-9216

Other names 1

  • Pedro Quesada, DDS, PA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1073028684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123609",
            "telephone_number": "786-534-9216",
            "fax_number": "786-534-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123609",
            "telephone_number": "786-534-9216",
            "fax_number": "786-534-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO QUESADA, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-534-9216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pedro Quesada, DDS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2017; 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.