NPIMap

Organization Active NPI

Miami Beach Center for Dental Specialties, PA

  • Pediatric Dentistry
  • Miami Beach, FL
National Provider Identifier
1083935944
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MIAMI BEACH CENTER FOR DENTAL SPECIALTIES, PA
Practice address
333 Arthur Godfrey Rd
Suite 818
Miami Beach, FL 33140-3641
Phone
(305) 674-0095
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Dr. Melvyn Gober, DDS
Title
Ceo
Phone
(305) 274-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

333 Arthur Godfrey Rd
Suite 818
Miami Beach, FL 33140-3641

Mailing address

13195 SW 134TH St
2ND Floor
Miami, FL 33186-4461
Phone (305) 274-2499

Other names 1

  • Main Street Children's Dentistry of Miami Beach Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Main Street Children'S Dentistry of Miami Beach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1083935944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST",
            "address_2": "2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864461",
            "telephone_number": "305-274-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ARTHUR GODFREY RD",
            "address_2": "SUITE 818",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403641",
            "telephone_number": "305-674-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BEACH CENTER FOR DENTAL SPECIALTIES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-274-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Children's Dentistry of Miami Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in 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 10, 2012; 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.