Organization Active NPI

C & C Dental, Inc

  • Dentist
  • North Miami Beach, FL
National Provider Identifier
1073929816
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19495 Issued in FL
Legal business name
C & C DENTAL, INC
Practice address
951 NE 167TH St
Suite 104
North Miami Beach, FL 33162-3711
Phone
(305) 493-9371
Fax
(305) 493-9428
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Dr. Silvia B Casas, DDS
Title
Owner/Dentist
Phone
(305) 493-9371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19495 FL Primary

Addresses

Primary practice location

951 NE 167TH St
Suite 104
North Miami Beach, FL 33162-3711

Mailing address

951 NE 167TH St
Suite 104
North Miami Beach, FL 33162-3711
Phone (305) 493-9371

Other identifiers 1

IdentifierTypeStateIssuer
004027300MedicaidFL

National Provider Directory

National Provider Directory

Locations

951 NE 167th St
Ste 104
North Miami Beach, FL 33162
Phone (305) 249-3904

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1073929816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NE 167TH ST",
            "address_2": "SUITE 104",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623711",
            "telephone_number": "305-493-9371",
            "fax_number": "305-493-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NE 167TH ST",
            "address_2": "SUITE 104",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623711",
            "telephone_number": "305-493-9371",
            "fax_number": "305-493-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "CASAS",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "305-493-9371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004027300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.