Organization Active NPI

Floridian Dental Care

  • Dentist
  • Miami, FL
National Provider Identifier
1124120241
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FLORIDIAN DENTAL CARE
Practice address
7900 NW 27TH Ave
Miami, FL 33147-4902
Phone
(305) 693-8888
Fax
(305) 693-8893
NPI assigned
Sep 1, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ricardo Antonio Egusquiza, DDS
Title
Dentist
Phone
(305) 693-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X FL Primary

Addresses

Primary practice location

7900 NW 27TH Ave
Miami, FL 33147-4902

Mailing address

158 W 12TH St
Hialeah, FL 33010-3991
Phone (305) 887-7179

Other identifiers 1

IdentifierTypeStateIssuer
DN11915OtherFLDENTIST LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124120241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W 12TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103991",
            "telephone_number": "305-887-7179",
            "fax_number": "305-887-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331474902",
            "telephone_number": "305-693-8888",
            "fax_number": "305-693-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EGUSQUIZA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-693-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "DN11915",
            "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 Mar 7, 2023; 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.