NPIMap

Organization Active NPI

Dr. Andy Green Dermatology

  • Dermatology Physician
  • North Miami Beach, FL
National Provider Identifier
1134463094
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DR. ANDY GREEN DERMATOLOGY
Practice address
1380 NE Miami Gardens Dr Ste 270
North Miami Beach, FL 33179-4721
Phone
(305) 940-0701
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Andy Green, M.D.
Title
Dermatologist
Phone
(305) 932-4192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr Ste 270
North Miami Beach, FL 33179-4721

Mailing address

1380 NE Miami Gardens Dr Ste 270
North Miami Beach, FL 33179-4721

National Provider Directory

National Provider Directory
Tax ID family
Fry's Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1134463094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 270",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 270",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794721",
            "telephone_number": "305-940-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDY GREEN DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "305-932-4192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.