Organization Active NPI

Floridian Dental at Kendall, PLLC

Doing business as Floridian Dental

  • Dentist
  • Miami, FL
National Provider Identifier
1083004089
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19133 Issued in FL
Legal business name
FLORIDIAN DENTAL AT KENDALL, PLLC
Doing business as
Floridian Dental
Practice address
9595 N Kendall Dr
Suite 203
Miami, FL 33176-1979
Phone
(305) 274-8253
Fax
(305) 274-0698
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. Kari Moss Vinuela, DDSNPI 1245535822
Title
Manager
Phone
(352) 258-1014

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN19133 FL Primary

Addresses

Primary practice location

9595 N Kendall Dr
Suite 203
Miami, FL 33176-1979

Mailing address

9001 SW 93Rd Ave
Miami, FL 33176-2066
Phone (352) 258-1014

Other names 1

  • Floridian Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9595 N Kendall Dr
Ste 203
Miami, FL 33176
Phone (305) 274-8253

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1083004089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 SW 93RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762066",
            "telephone_number": "352-258-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 N KENDALL DR",
            "address_2": "SUITE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761979",
            "telephone_number": "305-274-8253",
            "fax_number": "305-274-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN DENTAL AT KENDALL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "VINUELA",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "MOSS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-258-1014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floridian Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.