Organization Active NPI

Kendall Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
National Provider Identifier
1114137700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN03192 Issued in FL
Legal business name
KENDALL ORAL SURGERY
Practice address
8700 N Kendall Dr
Suite 221
Miami, FL 33176-2206
Phone
(305) 595-4122
Fax
(305) 595-5908
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brett A. Paredes, D.M.D, M.D.NPI 1447242078
Title
Partner
Phone
(305) 595-4122

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 DN03192 FL Primary

Addresses

Primary practice location

8700 N Kendall Dr
Suite 221
Miami, FL 33176-2206

Mailing address

8700 N Kendall Dr
Suite 221
Miami, FL 33176-2206
Phone (305) 595-4122

Other identifiers 2

IdentifierTypeStateIssuer
1033101027OtherFLNPI
1447242078OtherFLNPI

National Provider Directory

National Provider Directory

Locations

8700 N Kendall Dr
Ste 221
Miami, FL 33176
Phone (305) 595-4122

Practitioners & affiliated clinicians

Practitioners 3

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114137700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 N KENDALL DR",
            "address_2": "SUITE 221",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762206",
            "telephone_number": "305-595-4122",
            "fax_number": "305-595-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 N KENDALL DR",
            "address_2": "SUITE 221",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762206",
            "telephone_number": "305-595-4122",
            "fax_number": "305-595-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-595-4122",
        "authorized_official_credential": "D.M.D, M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN03192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033101027",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447242078",
            "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 Aug 22, 2020; 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.