Active NPI
Patricia Maria Bobadilla, DDS
- Dentist
- Hialeah, FL
National Provider Identifier
1124039672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0014173
- Practice address
- 5924 W 16TH Ave
Hialeah, FL 33012-6814 - Phone
- (305) 558-2133
- Fax
- (786) 899-0801
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN0014173 | FL | Primary |
Addresses
Primary practice location
5924 W 16TH Ave
Hialeah, FL 33012-6814
Mailing address
2646 Thomas St
Hollywood, FL 33020
Phone (954) 923-6272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649772625 | Medicaid | FL |
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 |
|---|---|---|---|
| DN0014173 | FL | MD | Dentist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A-Z Dental Inc. | Current | Accepting new patients | |
| A-Z Dental Inc. | Past | Accepting new patients |
Locations
5924 W 16th Ave
Hialeah, FL 33012
Phone (305) 558-2133
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Prosthodontics
- Hialeah, FL
- NPI 1649772625
-
- Endodontics
- Hialeah, FL
- NPI 1669930459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1124039672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2646 THOMAS ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33020",
"telephone_number": "954-923-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5924 W 16TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330126814",
"telephone_number": "305-558-2133",
"fax_number": "786-899-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBADILLA",
"first_name": "PATRICIA",
"middle_name": "MARIA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0014173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649772625",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.