Dental Solution of Kendall, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

181138 Issued in FL

Legal business name

DENTAL SOLUTION OF KENDALL, LLC

Doing business as

Pediatric Dentistry of Kendall

Practice address

11790 SW 89TH St
Miami, FL 33186-2165

Phone

(305) 271-1151

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Juan Diego Cardenas, DDS

Title

Dentist Owner

Phone

(305) 271-1151

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pediatric Dentistry of Kendall Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge E Landa, D.M.D.

  • Pediatric Dentistry
  • Miami, FL
  • NPI 1366677858
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1114283611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW 89TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862165",
            "telephone_number": "305-271-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW 89TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862165",
            "telephone_number": "305-271-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SOLUTION OF KENDALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "305-271-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "12829",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "181138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740338201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Kendall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.