Organization Active NPI

Morell Dental Care

  • Dental Clinic/Center
  • Hialeah, FL
National Provider Identifier
1083149736
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17626 Issued in FL
Legal business name
MORELL DENTAL CARE
Practice address
3750 W 16TH Ave
Hialeah, FL 33012-4654
Phone
(305) 231-0545
Fax
(305) 290-3205
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Nayade Morell
Title
Doctor
Phone
(305) 231-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17626 FL Primary

Addresses

Primary practice location

3750 W 16TH Ave
Hialeah, FL 33012-4654

Mailing address

3750 W 16TH Ave
Hialeah, FL 33012-4654
Phone (305) 231-0545

Other identifiers 1

IdentifierTypeStateIssuer
013159500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1083149736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-231-0545",
            "fax_number": "305-290-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-231-0545",
            "fax_number": "305-290-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORELL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "MORELL",
        "authorized_official_first_name": "NAYADE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-231-0545"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013159500",
            "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 May 1, 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.