Pamela Loretta Nielsen, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN0013591 Issued in FL

Practice address

7755 SW 87TH Ave
Suite 110
Miami, FL 33173-2534

Phone

(305) 279-2828

Fax

(305) 279-1441

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124118245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 SW 87TH AVE",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732534",
            "telephone_number": "305-279-2828",
            "fax_number": "305-279-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 SW 87TH AVE",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732534",
            "telephone_number": "305-279-2828",
            "fax_number": "305-279-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "PAMELA",
        "middle_name": "LORETTA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN0013591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saray Nieblas
• Julia T Nieda, HAS
• Samantha Ali Niekamp, M.D.
• Kirsten Nielsen, M.D.
• Nolan David Nielsen, MD
• Markie L Niemeyer, MD
• Barry Nierenberg, PHD, ABPP
• Susan Linda Nierenberg, LCSW
• Andrea Nieto-Salgado
• Christian J Nieto

• Periodontics in Miami, FL
• Providers in Miami, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.