Active NPI
Denise Dorra
- Dentist
- Miami Lakes, FL
National Provider Identifier
1124802343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28459
- Practice address
- 7975 NW 154TH St Ste 250
Miami Lakes, FL 33016-5806 - Phone
- (305) 615-6300
- NPI assigned
- Aug 21, 2023
- 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 | 28459 | FL | Primary |
Addresses
Primary practice location
7975 NW 154TH St Ste 250
Miami Lakes, FL 33016-5806
Mailing address
20301 W Country Club Dr Apt 1822
Aventura, FL 33180-1657
Phone (786) 587-9988
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 |
|---|---|---|---|
| 28459 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Endodontic Group | Past | Accepting new patients |
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.
-
- Endodontics
- Miami Lakes, FL
- NPI 1205377488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1124802343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20301 W COUNTRY CLUB DR APT 1822",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801657",
"telephone_number": "786-587-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7975 NW 154TH ST STE 250",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165806",
"telephone_number": "305-615-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRA",
"first_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.