Organization Active NPI

Eduardo Northland,D.D.S.,P.a.

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1093733024
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012377 Issued in FL
Legal business name
EDUARDO NORTHLAND,D.D.S.,P.A.
Doing business as
NORTHLAND DENTAL
Practice address
2825 S.W. 22 Street
Coral Gables, FL 33145-3203
Phone
(305) 448-1172
Fax
(305) 446-2724
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Eduardo NorthlandNPI 1003834037
Title
President
Phone
(305) 448-1172

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0012377 FL Primary

Addresses

Primary practice location

2825 S.W. 22 Street
Coral Gables, FL 33145-3203

Mailing address

2825 S.W. 22 Street
Coral Gables, FL 33145-3203
Phone (305) 448-1172

Other names 1

  • NORTHLAND DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

2825 SW 22nd St
Coral Gables, FL 33145
Phone (305) 448-1172

Practitioners & affiliated clinicians

Practitioners 1

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1093733024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 S.W. 22 STREET",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453203",
            "telephone_number": "305-448-1172",
            "fax_number": "305-446-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S.W. 22 STREET",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453203",
            "telephone_number": "305-448-1172",
            "fax_number": "305-446-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO NORTHLAND,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "NORTHLAND",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-448-1172"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHLAND DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.