Individual provider Active NPI

Carlos Alberto Lantigua, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1083970164
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19355 Issued in FL
Practice address
11254 SW 137TH Ave
Miami, FL 33186-4201
Phone
(305) 386-7337
Fax
(305) 386-4004
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19355 FL Primary

Addresses

Primary practice location

11254 SW 137TH Ave
Miami, FL 33186-4201

Mailing address

11254 SW 137TH Ave
Miami, FL 33186-4201
Phone (305) 386-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN19355FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1083970164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864201",
            "telephone_number": "305-386-7337",
            "fax_number": "305-386-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11254 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864201",
            "telephone_number": "305-386-7337",
            "fax_number": "305-386-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTIGUA",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 16, 2013; 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.