Active NPI
Yailin Garcia Jam, DDS
- General Practice Dentistry
- Hialeah, FL
National Provider Identifier
1104239235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22294
- Practice address
- 432 E 29TH St
Hialeah, FL 33013-3618 - Phone
- (786) 399-5071
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22294 | FL | Primary |
Addresses
Primary practice location
432 E 29TH St
Hialeah, FL 33013-3618
Mailing address
432 E 29TH St
Hialeah, FL 33013-3618
Phone (786) 399-5071
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22294 | FL | MD | General Practice Dentistry |
Networks
- HealthSun Health Plans Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1104239235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 E 29TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133618",
"telephone_number": "786-399-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 E 29TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133618",
"telephone_number": "786-399-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA JAM",
"first_name": "YAILIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "22294",
"primary": true
}
],
"identifiers": [],
"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 Aug 24, 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.