Organization Active NPI

My Smile Center

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1104297530
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MY SMILE CENTER
Practice address
12800 SW 8TH St
Miami, FL 33184-1309
Phone
(786) 610-9545
NPI assigned
Oct 12, 2015
Last updated
Nov 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Dr. Rene J Friedman
Title
Owner
Phone
(786) 414-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X FL Primary

Addresses

Primary practice location

12800 SW 8TH St
Miami, FL 33184-1309

Mailing address

12800 SW 8TH St
Miami, FL 33184-1309

National Provider Directory

National Provider Directory

Locations

12800 SW 8th St
Miami, FL 33184
Phone (305) 221-0101

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1104297530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841309",
            "telephone_number": "786-610-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-414-4316",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "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 Nov 27, 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.