Robert Faine, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN5193 Issued in FL

Practice address

6280 Sunset Dr Ste 401
South Miami, FL 33143-4860

Phone

(305) 661-9556

Fax

(305) 663-9949

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Safer Sleep PA

  • General Practice Dentistry
  • South Miami, FL
  • NPI 1255067336
  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1114074366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 S DIXIE HWY # 313",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR STE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434860",
            "telephone_number": "305-661-9556",
            "fax_number": "305-663-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAINE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN5193",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN5193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Executive Health of South Florida, LLC
• Eye Care Optical Center, Inc.
• Kenneth Ezeribe, MD
• Deborah Ezeta
• Nneka Chigozie Ezeudemba, MD
• Karina Fajardo, M.D.
• Natasha Ailime Fajardo, MD
• Elena N/a Fallucca, M.D.
• Family Life Design, Inc.
• Leyania Fandino, APRN

• Dentist in South Miami, FL
• Providers in South Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.