Organization Active NPI

South Florida Dental Care

  • Dental Clinic/Center
  • Hialeah, FL
National Provider Identifier
1073092284
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTH FLORIDA DENTAL CARE
Practice address
922 E 25TH St
Hialeah, FL 33013-3404
Phone
(178) 654-2970
Fax
(786) 542-9690
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Wendy Elizabeth Pinales Swanson, DDSNPI 1790085819
Title
Owner
Phone
(305) 409-9397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

922 E 25TH St
Hialeah, FL 33013-3404

Mailing address

922 E 25TH St
Hialeah, FL 33013-3404
Phone (178) 654-2970

Other identifiers 1

IdentifierTypeStateIssuer
1790085819MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1073092284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133404",
            "telephone_number": "178-654-2970",
            "fax_number": "786-542-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133404",
            "telephone_number": "178-654-2970",
            "fax_number": "786-542-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ELIZABETH PINALES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-409-9397",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790085819",
            "state": "FL"
        }
    ],
    "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 Aug 8, 2018; 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.