183 Dental Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 12408 Issued in FL

Legal business name

183 DENTAL GROUP, PA

Practice address

636 NW 183Rd St
Miami, FL 33169-4470

Phone

(305) 652-8338

Fax

(305) 653-5807

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd A. Smith, D.M.D.

Title

Dentist

Phone

(305) 652-8338

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winy Sophie Charles

  • General Practice Dentistry
  • Miami Gardens, FL
  • NPI 1700491701

  General Practice

  NPD (past)
• Chione Daniel, DMD

  • Dentist
  • Miami, FL
  • NPI 1609445139

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1104969039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694470",
            "telephone_number": "305-652-8338",
            "fax_number": "305-653-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694470",
            "telephone_number": "305-652-8338",
            "fax_number": "305-653-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "183 DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-652-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 12408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073388100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Miami, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.