Active NPI
Jose Manuel Lopez Comesanas, DMD
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1114665064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN26826
- Practice address
- 3850 SW 87TH Ave Ste 204
Miami, FL 33165-5473 - Phone
- (305) 553-5292
- NPI assigned
- May 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN26826 | FL | Primary |
Addresses
Primary practice location
3850 SW 87TH Ave Ste 204
Miami, FL 33165-5473
Mailing address
15225 SW 145TH CT
Miami, FL 33177-6816
Phone (786) 238-5128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN26826 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Smile Dental Studio LLC | Current | Accepting new patients |
Locations
930 N Krome Ave
Homestead, FL 33030
Phone (305) 247-5161
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Homestead, FL
- NPI 1528890563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1114665064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15225 SW 145TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331776816",
"telephone_number": "786-238-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 SW 87TH AVE STE 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331655473",
"telephone_number": "305-553-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ COMESANAS",
"first_name": "JOSE",
"middle_name": "MANUEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN26826",
"primary": true
}
],
"identifiers": [],
"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 May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.