Organization Active NPI

Carlos J Rodriguez-Feo, DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
National Provider Identifier
1114101433
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN11350 Issued in FL
Legal business name
CARLOS J RODRIGUEZ-FEO, DDS PA
Practice address
6601 SW 80TH St
Ste 125
Miami, FL 33143-4661
Phone
(305) 665-3721
Fax
(305) 665-3602
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Carlos J Rodriguez-Feo, DDSNPI 1023089950
Title
President
Phone
(305) 665-3721

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN11350 FL Primary

Addresses

Primary practice location

6601 SW 80TH St
Ste 125
Miami, FL 33143-4661

Mailing address

6601 SW 80TH St Ste 125
Miami, FL 33143-4661
Phone (305) 665-3721

Other identifiers 1

IdentifierTypeStateIssuer
63504-85OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

6601 SW 80th St
Ste 125
Miami, FL 33143
Phone (305) 665-3721

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1114101433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 SW 80TH ST STE 125",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434661",
            "telephone_number": "305-665-3721",
            "fax_number": "305-665-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 80TH ST",
            "address_2": "STE 125",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434661",
            "telephone_number": "305-665-3721",
            "fax_number": "305-665-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS J RODRIGUEZ-FEO, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-FEO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-665-3721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN11350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "63504-85",
            "state": "FL"
        }
    ],
    "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 Dec 21, 2007; 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.