Organization Active NPI

Gables Family Dental of Allapattah

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1093295438
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN14672 Issued in FL
Legal business name
GABLES FAMILY DENTAL OF ALLAPATTAH
Practice address
2955 NW 17TH Ave
Miami, FL 33142-6631
Phone
(305) 504-5553
NPI assigned
Aug 15, 2018
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Elias Tobon
Title
President
Phone
(305) 504-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN14672 FL Primary

Addresses

Primary practice location

2955 NW 17TH Ave
Miami, FL 33142-6631

Mailing address

2955 NW 17TH Ave
Miami, FL 33142-6631

National Provider Directory

National Provider Directory

Locations

2955 NW 17th Ave
Miami, FL 33142
Phone (305) 504-5553

Practitioners & affiliated clinicians

Practitioners 2

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": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1093295438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426631",
            "telephone_number": "305-504-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES FAMILY DENTAL OF ALLAPATTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "TOBON",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-504-5553"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN14672",
            "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 Aug 15, 2018; 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.